Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $77.15 / $109.40	Facility		$65.91	$77.15	$109.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $26.49 / $100.64	Professional		$19.60	$26.49	$100.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $185.55 / $262.35	Facility		$133.32	$185.55	$262.35
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Professional		$20.66	$20.66	$20.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $61.77	Facility		$44.07	$44.07	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $35.76 / $65.43	Professional		$27.81	$35.76	$65.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $69.09 / $96.53	Facility		$65.65	$69.09	$96.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $53.90 / $53.90	Professional		$53.90	$53.90	$53.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $79.47 / $109.40	Facility		$65.91	$79.47	$109.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $30.94 / $131.91	Professional		$19.82	$30.94	$131.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $36.10 / $42.60	Professional		$28.90	$36.10	$42.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $61.77	Facility		$44.07	$44.07	$61.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $34.35	Professional		$26.49	$26.49	$34.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.89 / $43.29	Professional		$11.13	$15.89	$43.29