Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $78.55 / $112.63	Facility		$37.04	$78.55	$112.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.83	Professional		$36.67	$36.67	$44.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $39.78 / $8,459.92	Facility		$33.96	$39.78	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $36.67 / $36.67	Facility		$34.59	$36.67	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $39.78	Professional		$36.67	$36.67	$39.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $39.78 / $55.04	Professional		$38.04	$39.78	$55.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $57.80 / $112.63	Facility		$37.42	$57.80	$112.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.42 / $95.59	Professional		$36.67	$37.42	$95.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $84.00 / $190.00	Professional		$27.40	$84.00	$190.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $36.67 / $36.67	Facility		$34.59	$36.67	$36.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $41.51	Professional		$36.67	$36.67	$41.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $40.43 / $46.92	Facility		$40.43	$40.43	$46.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $40.43 / $46.92	Professional		$40.43	$40.43	$46.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $38.86 / $67.11	Professional		$36.67	$38.86	$67.11