Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $104.78 / $104.78	Facility		$88.80	$104.78	$104.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.55 / $25.55	Professional		$16.44	$20.55	$25.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $149.93 / $211.99	Facility		$107.73	$149.93	$211.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $19.79 / $19.79	Professional		$19.79	$19.79	$19.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $50.00	Facility		$42.21	$42.21	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $24.36 / $43.50	Professional		$13.25	$24.36	$43.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $34.25 / $48.20	Professional		$15.10	$34.25	$48.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.78 / $104.78 / $104.78	Facility		$104.78	$104.78	$104.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $21.56 / $104.78	Professional		$18.27	$21.56	$104.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $32.90 / $50.74	Professional		$21.56	$32.90	$50.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $50.00	Facility		$42.21	$42.21	$50.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $24.60 / $49.39	Professional		$13.28	$24.60	$49.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $30.33	Professional		$25.37	$25.37	$30.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $25.37 / $41.42	Professional		$14.03	$25.37	$41.42