Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $91.81 / $91.81	Facility		$77.81	$91.81	$91.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $18.01 / $27.79	Professional		$17.19	$18.01	$27.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $155.94 / $220.48	Facility		$112.04	$155.94	$220.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $17.34 / $17.34	Professional		$17.34	$17.34	$17.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $26.68 / $36.97	Facility		$26.68	$26.68	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $30.14 / $61.89	Professional		$19.57	$30.14	$61.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $30.01 / $42.24	Professional		$13.23	$30.01	$42.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $91.81 / $91.81	Facility		$91.81	$91.81	$91.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $18.23 / $142.94	Professional		$16.45	$18.23	$142.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $30.97 / $37.10	Professional		$17.43	$30.97	$37.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $26.68 / $36.97	Facility		$26.68	$26.68	$36.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $31.51 / $61.18	Professional		$19.34	$31.51	$61.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $31.63	Professional		$22.23	$22.23	$31.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $22.23 / $38.93	Professional		$12.23	$22.23	$38.93