Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $131.91 / $131.91	Facility		$111.79	$131.91	$131.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $25.87 / $159.06	Professional		$8.69	$25.87	$159.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $95.76 / $135.38	Facility		$68.80	$95.76	$135.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Professional		$24.91	$24.91	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $38.33 / $53.14	Facility		$38.33	$38.33	$53.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $43.12 / $78.89	Professional		$33.54	$43.12	$78.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Facility		$131.91	$131.91	$131.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $25.87 / $159.06	Professional		$9.44	$25.87	$159.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.20 / $20.20	Professional		$13.70	$17.20	$20.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $38.33 / $53.14	Facility		$38.33	$38.33	$53.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $31.94 / $31.94	Professional		$17.73	$31.94	$31.94
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $19.16 / $39.93	Professional		$13.41	$19.16	$39.93