Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $74.01 / $109.06	Facility		$21.12	$74.01	$109.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.38 / $167.63	Professional		$20.17	$21.38	$167.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $175.17 / $8,459.92	Facility		$131.46	$175.17	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $39.60 / $86.93	Facility		$24.75	$39.60	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $27.87 / $63.39	Professional		$15.48	$27.87	$63.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $35.19 / $49.53	Professional		$15.51	$35.19	$49.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $74.01 / $109.06	Facility		$22.16	$74.01	$109.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.34 / $107.67	Professional		$19.55	$23.34	$107.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $40.29 / $45.60	Professional		$29.30	$40.29	$45.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $43.38 / $86.93	Facility		$25.43	$43.38	$86.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $29.46 / $63.39	Professional		$16.44	$29.46	$63.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Facility		$26.07	$26.07	$26.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $26.59	Professional		$26.07	$26.07	$26.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $42.68	Professional		$10.95	$15.64	$42.68