Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $99.24 / $99.24	Facility		$84.11	$99.24	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $19.46 / $30.04	Professional		$8.17	$19.46	$30.04
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 $18.73 / $18.73 / $18.73	Professional		$18.73	$18.73	$18.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $39.97	Facility		$28.84	$28.84	$39.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $12.61 / $27.16	Professional		$6.65	$12.61	$27.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $32.44 / $45.66	Professional		$14.30	$32.44	$45.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $99.24 / $99.24	Facility		$99.24	$99.24	$99.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $19.46 / $154.51	Professional		$8.69	$19.46	$154.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $20.43 / $42.89	Professional		$14.90	$20.43	$42.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $39.97	Facility		$28.84	$28.84	$39.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.36 / $31.31	Professional		$6.68	$13.36	$31.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $24.03 / $24.03	Professional		$15.04	$24.03	$24.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $22.83 / $33.95	Professional		$8.82	$22.83	$33.95