Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $181.60 / $181.60	Facility		$153.90	$181.60	$181.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $35.61 / $218.97	Professional		$16.44	$35.61	$218.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $149.93 / $211.99	Facility		$107.73	$149.93	$211.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Professional		$34.29	$34.29	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $73.15	Facility		$52.76	$52.76	$73.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $59.36 / $108.61	Professional		$46.17	$59.36	$108.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $181.60 / $181.60	Facility		$181.60	$181.60	$181.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $36.06 / $218.97	Professional		$17.30	$36.06	$218.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $29.90 / $35.29	Professional		$23.90	$29.90	$35.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $73.15	Facility		$52.76	$52.76	$73.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $43.97 / $43.97	Professional		$27.76	$43.97	$43.97
United Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Facility		$43.97	$43.97	$43.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $26.38 / $58.71	Professional		$18.47	$26.38	$58.71