Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $97.76 / $144.00	Facility		$27.89	$97.76	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $27.89 / $221.39	Professional		$25.48	$27.89	$221.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $231.41 / $8,459.92	Facility		$173.66	$231.41	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $52.31 / $114.09	Facility		$32.67	$52.31	$114.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $33.04 / $77.76	Professional		$20.14	$33.04	$77.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $46.48 / $65.42	Professional		$20.49	$46.48	$65.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $97.76 / $144.00	Facility		$29.27	$97.76	$144.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $30.83 / $142.19	Professional		$25.48	$30.83	$142.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $51.65 / $114.40	Professional		$38.79	$51.65	$114.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $57.28 / $114.09	Facility		$33.36	$57.28	$114.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $36.92 / $77.76	Professional		$21.59	$36.92	$77.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $34.43	Facility		$34.43	$34.43	$34.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $34.43 / $35.11	Professional		$34.43	$34.43	$35.11
United Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $41.32 / $41.32	Facility		$34.43	$41.32	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $34.43 / $62.24	Professional		$20.66	$34.43	$62.24