Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $64.95 / $107.38	Facility		$43.30	$64.95	$107.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $43.30 / $43.30	Professional		$40.75	$43.30	$43.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $37.50 / $8,459.92	Facility		$32.01	$37.50	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $43.30 / $50.94	Professional		$43.30	$43.30	$50.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $64.08 / $107.38	Facility		$43.30	$64.08	$107.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $43.30 / $67.55	Professional		$40.75	$43.30	$67.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $32.33 / $32.33	Facility		$32.33	$32.33	$32.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $32.33 / $32.33	Professional		$32.33	$32.33	$32.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $42.96 / $54.72	Professional		$40.53	$42.96	$54.72