Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $108.29 / $108.29	Facility		$91.77	$108.29	$108.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $21.24 / $32.78	Professional		$17.61	$21.24	$32.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $159.69 / $225.79	Facility		$114.74	$159.69	$225.79
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Professional		$20.45	$20.45	$20.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $43.61 / $54.26	Facility		$43.61	$43.61	$54.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $30.87 / $63.73	Professional		$20.82	$30.87	$63.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $35.40 / $49.82	Professional		$15.60	$35.40	$49.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $108.29 / $108.29	Facility		$108.29	$108.29	$108.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $21.24 / $168.60	Professional		$18.72	$21.24	$168.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $29.54 / $38.81	Professional		$16.84	$29.54	$38.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $43.61 / $54.26	Facility		$43.61	$43.61	$54.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $31.97 / $65.70	Professional		$20.75	$31.97	$65.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $32.38	Professional		$26.22	$26.22	$32.38
United Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $26.22 / $45.55	Professional		$14.42	$26.22	$45.55