Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $76.16 / $76.16	Facility		$66.73	$76.16	$76.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $66.73 / $77.06	Professional		$58.11	$66.73	$77.06
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.21 / $1.21	Professional		$1.03	$1.21	$1.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $88.63 / $157.54	Professional		$63.16	$88.63	$157.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $120.22 / $192.67	Professional		$79.91	$120.22	$192.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $76.16	Facility		$66.73	$66.73	$76.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $68.09 / $83.11	Professional		$58.48	$68.09	$83.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $79.25 / $114.18	Professional		$59.75	$79.25	$114.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $71.25 / $111.03	Professional		$60.00	$71.25	$111.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $78.80	Facility		$77.00	$77.00	$78.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $89.77 / $160.05	Professional		$63.16	$89.77	$160.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $59.66 / $59.66	Facility		$59.66	$59.66	$59.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.66 / $59.66	Professional		$59.66	$59.66	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $79.08 / $136.49	Professional		$62.88	$79.08	$136.49