Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $194.76 / $286.88	Facility		$55.57	$194.76	$286.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $56.25 / $441.10	Professional		$53.08	$56.25	$441.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $345.91 / $460.94 / $8,459.92	Facility		$345.91	$460.94	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $53.51 / $53.51	Professional		$53.51	$53.51	$53.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $101.58 / $228.19	Facility		$65.09	$101.58	$228.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $66.09 / $155.52	Professional		$40.13	$66.09	$155.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $92.61 / $130.34	Professional		$40.82	$92.61	$130.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $194.76 / $286.88	Facility		$58.31	$194.76	$286.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $61.42 / $283.32	Professional		$51.45	$61.42	$283.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $102.90 / $231.20	Professional		$77.20	$102.90	$231.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $110.82 / $228.19	Facility		$66.75	$110.82	$228.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $73.61 / $155.52	Professional		$43.02	$73.61	$155.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $69.97	Professional		$68.59	$68.59	$69.97
United Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Facility		$40.25	$40.25	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $68.59 / $125.54	Professional		$37.72	$68.59	$125.54