Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $95.16 / $95.16	Facility		$80.64	$95.16	$95.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $18.66 / $28.80	Professional		$15.68	$18.66	$28.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $142.19 / $201.05	Facility		$102.17	$142.19	$201.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $17.97 / $17.97	Professional		$17.97	$17.97	$17.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $27.65 / $38.34	Facility		$27.65	$27.65	$38.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $20.21 / $41.35	Professional		$11.97	$20.21	$41.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $31.10 / $43.78	Professional		$13.71	$31.10	$43.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.16 / $95.16 / $95.16	Facility		$95.16	$95.16	$95.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $18.66 / $148.15	Professional		$16.59	$18.66	$148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $31.40 / $46.08	Professional		$19.57	$31.40	$46.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $27.65 / $38.34	Facility		$27.65	$27.65	$38.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $23.13 / $46.89	Professional		$12.09	$23.13	$46.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Professional		$23.04	$23.04	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $23.04 / $40.03	Professional		$12.67	$23.04	$40.03