Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $74.26 / $74.26	Facility		$62.93	$74.26	$74.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.56 / $22.48	Professional		$11.64	$14.56	$22.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $105.61 / $149.32	Facility		$75.88	$105.61	$149.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $14.02	Professional		$14.02	$14.02	$14.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $21.58 / $29.92	Facility		$21.58	$21.58	$29.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $17.30 / $30.61	Professional		$9.30	$17.30	$30.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $24.27 / $34.15	Professional		$10.70	$24.27	$34.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $74.26 / $74.26	Facility		$74.26	$74.26	$74.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.56 / $115.61	Professional		$12.39	$14.56	$115.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $23.30 / $60.00	Professional		$16.89	$23.30	$60.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $21.58 / $29.92	Facility		$21.58	$21.58	$29.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $17.84 / $34.39	Professional		$9.42	$17.84	$34.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $21.41	Professional		$17.98	$17.98	$21.41
United Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $17.98 / $26.97	Professional		$10.50	$17.98	$26.97