Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $71.48 / $71.48	Facility		$60.59	$71.48	$71.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.64 / $14.21	Professional		$8.69	$12.64	$14.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $74.12 / $104.81	Facility		$53.26	$74.12	$104.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $14.19 / $14.19	Professional		$14.19	$14.19	$14.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $29.54	Facility		$21.31	$21.31	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $12.03 / $24.38	Professional		$6.65	$12.03	$24.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $24.56 / $34.56	Professional		$10.82	$24.56	$34.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $71.48 / $71.48	Facility		$71.48	$71.48	$71.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $13.05 / $71.48	Professional		$12.33	$13.05	$71.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $18.19 / $36.38	Professional		$14.90	$18.19	$36.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $29.54	Facility		$21.31	$21.31	$29.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.29 / $24.61	Professional		$6.68	$13.29	$24.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $17.30 / $17.30	Professional		$15.04	$17.30	$17.30
United Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Facility		$18.19	$18.19	$18.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.12 / $24.74	Professional		$8.32	$15.12	$24.74