Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $125.90 / $208.15	Facility		$83.93	$125.90	$208.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $83.93 / $83.93	Professional		$78.98	$83.93	$83.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $56.94 / $8,459.92	Facility		$48.61	$56.94	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $56.94 / $56.94	Professional		$56.94	$56.94	$56.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $87.05 / $108.61	Professional		$82.95	$87.05	$108.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $83.93 / $98.74	Professional		$83.93	$83.93	$98.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $124.22 / $208.15	Facility		$83.93	$124.22	$208.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $83.93 / $130.93	Professional		$78.98	$83.93	$130.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $131.19	Professional		$27.40	$27.40	$131.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $87.05 / $104.30	Professional		$82.95	$87.05	$104.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $86.95 / $86.95	Facility		$86.95	$86.95	$86.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $86.95 / $86.95	Professional		$86.95	$86.95	$86.95
United Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $104.66 / $135.27	Professional		$96.77	$104.66	$135.27