Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $47.63	Facility		$33.31	$33.31	$47.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.31 / $33.31	Professional		$32.53	$33.31	$33.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $157.15 / $8,459.92	Facility		$133.58	$157.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $202.81 / $202.81 / $202.81	Professional		$202.81	$202.81	$202.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $81.29	Professional		$69.09	$69.09	$81.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $85.94	Facility		$33.31	$33.31	$85.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.31 / $44.97	Professional		$32.53	$33.31	$44.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $243.22 / $333.77	Professional		$163.77	$243.22	$333.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $154.44 / $173.75	Facility		$154.44	$154.44	$173.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $154.44 / $173.75	Professional		$61.18	$154.44	$173.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $46.13	Professional		$32.65	$32.65	$46.13