Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $111.72 / $111.72	Facility		$94.68	$111.72	$111.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $21.64 / $134.71	Professional		$15.68	$21.64	$134.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $142.19 / $201.05	Facility		$102.17	$142.19	$201.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $21.10 / $21.10	Professional		$21.10	$21.10	$21.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $32.46 / $45.00	Facility		$32.46	$32.46	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $36.52 / $66.81	Professional		$28.40	$36.52	$66.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $111.72 / $111.72	Facility		$111.72	$111.72	$111.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $21.91 / $134.71	Professional		$16.61	$21.91	$134.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $33.29 / $36.29	Professional		$22.80	$33.29	$36.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $32.46 / $45.00	Facility		$32.46	$32.46	$45.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $27.05 / $27.05	Professional		$26.33	$27.05	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $16.23 / $36.11	Professional		$11.36	$16.23	$36.11