Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $77.09 / $308.38	Facility		$41.47	$77.09	$308.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $63.37 / $88.43	Professional		$38.70	$63.37	$88.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $81.50 / $147.00	Professional		$78.54	$81.50	$147.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $81.72 / $167.21	Professional		$43.06	$81.72	$167.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $109.98 / $162.49	Professional		$60.00	$109.98	$162.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $77.09 / $324.50	Facility		$41.47	$77.09	$324.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $67.62 / $101.88	Professional		$39.84	$67.62	$101.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Professional		$168.00	$168.00	$168.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $83.90 / $179.97	Professional		$43.71	$83.90	$179.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $49.17 / $86.74	Facility		$41.84	$49.17	$86.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $76.69 / $83.03	Professional		$41.83	$76.69	$83.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $87.94 / $155.75	Professional		$70.97	$87.94	$155.75