Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $60.50 / $60.50	Facility		$51.28	$60.50	$60.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $11.72 / $12.45	Professional		$4.63	$11.72	$12.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $42.06 / $59.47	Facility		$30.22	$42.06	$59.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Professional		$11.43	$11.43	$11.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $24.37	Facility		$23.77	$23.77	$24.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $7.67 / $15.77	Professional		$3.77	$7.67	$15.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $19.78 / $27.84	Professional		$8.72	$19.78	$27.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $60.50 / $60.50	Facility		$60.50	$60.50	$60.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $11.87 / $60.50	Professional		$7.00	$11.87	$60.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.25 / $26.15	Professional		$8.40	$14.25	$26.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $24.37	Facility		$23.77	$23.77	$24.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $8.13 / $19.16	Professional		$3.77	$8.13	$19.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.65 / $14.65	Professional		$8.52	$14.65	$14.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $12.45 / $21.98	Professional		$5.25	$12.45	$21.98