Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $141.44 / $251.89	Facility		$83.69	$141.44	$251.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $100.26	Professional		$81.90	$81.90	$100.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $88.85 / $8,459.92	Facility		$75.84	$88.85	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $84.99 / $84.99	Professional		$84.99	$84.99	$84.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $81.90 / $81.90	Facility		$77.26	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $84.99	Professional		$81.90	$81.90	$84.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $88.85 / $104.39	Professional		$84.99	$88.85	$104.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $129.26 / $251.89	Facility		$83.69	$129.26	$251.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $83.69 / $174.68	Professional		$81.90	$83.69	$174.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $126.44 / $155.30	Professional		$27.40	$126.44	$155.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $81.90 / $81.90	Facility		$77.26	$81.90	$81.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $85.14	Professional		$81.90	$81.90	$85.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $83.49	Facility		$71.95	$71.95	$83.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $83.49	Professional		$71.95	$71.95	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $106.88	Professional		$81.90	$86.81	$106.88