Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $88.83 / $158.19	Facility		$52.56	$88.83	$158.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $62.97	Professional		$52.47	$52.47	$62.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $56.93 / $8,459.92	Facility		$48.60	$56.93	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $54.45 / $54.45	Professional		$54.45	$54.45	$54.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $52.47 / $52.47	Facility		$49.50	$52.47	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $54.45	Professional		$52.47	$52.47	$54.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.80 / $65.64	Professional		$51.80	$51.80	$65.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $78.84 / $158.19	Facility		$52.56	$78.84	$158.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.00 / $112.11	Professional		$52.47	$53.00	$112.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $80.30 / $97.70	Professional		$27.40	$80.30	$97.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $52.47 / $52.47	Facility		$49.50	$52.47	$52.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $54.97	Professional		$52.47	$52.47	$54.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $46.15 / $53.56	Facility		$46.15	$46.15	$53.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $46.15 / $53.56	Professional		$46.15	$46.15	$53.56
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $70.83	Professional		$52.47	$55.62	$70.83