Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $174.37 / $174.37	Facility		$147.77	$174.37	$174.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $34.20 / $52.78	Professional		$8.17	$34.20	$52.78
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 $32.93 / $32.93 / $32.93	Professional		$32.93	$32.93	$32.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $70.23	Facility		$50.66	$50.66	$70.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $13.68 / $45.24	Professional		$6.65	$13.68	$45.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.00 / $80.22	Professional		$25.12	$57.00	$80.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $174.37 / $174.37	Facility		$174.37	$174.37	$174.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $34.20 / $271.48	Professional		$8.69	$34.20	$271.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $41.08 / $75.36	Professional		$14.90	$41.08	$75.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $70.23	Facility		$50.66	$50.66	$70.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $17.18 / $54.67	Professional		$6.68	$17.18	$54.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $42.22 / $42.22	Professional		$15.04	$42.22	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $35.89 / $59.11	Professional		$14.76	$35.89	$59.11