Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $208.81 / $208.81	Facility		$176.96	$208.81	$208.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $40.95 / $63.20	Professional		$8.69	$40.95	$63.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $79.89 / $112.96	Facility		$57.40	$79.89	$112.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $39.44	Professional		$39.44	$39.44	$39.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $60.67 / $84.11	Facility		$60.67	$60.67	$84.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $14.73 / $53.98	Professional		$7.15	$14.73	$53.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $68.26 / $96.06	Professional		$30.08	$68.26	$96.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.81 / $208.81 / $208.81	Facility		$208.81	$208.81	$208.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $40.95 / $208.81	Professional		$8.81	$40.95	$208.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $42.98 / $90.25	Professional		$16.00	$42.98	$90.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $60.67 / $84.11	Facility		$60.67	$60.67	$84.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $18.47 / $65.42	Professional		$7.19	$18.47	$65.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $50.56 / $50.56	Professional		$16.20	$50.56	$50.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $48.03 / $82.73	Professional		$15.90	$48.03	$82.73