Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $114.15 / $114.15	Facility		$96.74	$114.15	$114.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $22.39 / $34.54	Professional		$8.17	$22.39	$34.54
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 $21.56 / $21.56 / $21.56	Professional		$21.56	$21.56	$21.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $33.17 / $45.99	Facility		$33.17	$33.17	$45.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $13.29 / $29.68	Professional		$6.65	$13.29	$29.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $37.31 / $52.52	Professional		$16.45	$37.31	$52.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.15 / $114.15 / $114.15	Facility		$114.15	$114.15	$114.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $22.39 / $177.73	Professional		$8.69	$22.39	$177.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $23.49 / $49.34	Professional		$14.90	$23.49	$49.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $33.17 / $45.99	Facility		$33.17	$33.17	$45.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.68 / $35.97	Professional		$6.68	$13.68	$35.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $27.64 / $27.64	Professional		$15.04	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $25.43 / $38.70	Professional		$8.48	$25.43	$38.70