Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $112.05 / $112.05	Facility		$94.96	$112.05	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $21.21 / $33.38	Professional		$12.96	$21.21	$33.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $37.15 / $52.54	Facility		$26.70	$37.15	$52.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $29.37 / $47.50	Professional		$28.30	$29.37	$47.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $25.06 / $32.36	Facility		$25.06	$25.06	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.16 / $33.54	Professional		$9.27	$15.16	$33.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $41.89 / $55.92	Professional		$18.28	$41.89	$55.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $21.54 / $182.61	Professional		$13.17	$21.54	$182.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $25.20 / $49.80	Professional		$13.73	$25.20	$49.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $25.06 / $32.36	Facility		$25.06	$25.06	$32.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $16.71 / $35.84	Professional		$9.43	$16.71	$35.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $26.84 / $29.09	Professional		$20.56	$26.84	$29.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $25.97 / $38.96	Professional		$12.07	$25.97	$38.96