Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $76.59 / $125.57	Facility		$24.32	$76.59	$125.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $24.32 / $45.04	Professional		$15.51	$24.32	$45.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $134.72 / $8,459.92	Facility		$101.10	$134.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $43.67 / $99.97	Facility		$22.64	$43.67	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $25.35 / $48.32	Professional		$12.58	$25.35	$48.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $40.54 / $57.06	Professional		$17.87	$40.54	$57.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $81.66 / $124.02	Facility		$25.53	$81.66	$124.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $25.53 / $124.02	Professional		$18.92	$25.53	$124.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $33.29 / $60.80	Professional		$22.60	$33.29	$60.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $43.67 / $99.97	Facility		$22.64	$43.67	$99.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $26.02 / $48.32	Professional		$12.64	$26.02	$48.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $30.03 / $30.03	Facility		$28.54	$30.03	$30.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $30.03 / $30.03	Professional		$28.54	$30.03	$30.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $18.02 / $42.04	Professional		$12.61	$18.02	$42.04