Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $62.75 / $89.98	Facility		$28.76	$62.75	$89.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $37.97	Professional		$23.88	$23.88	$37.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $25.90 / $8,459.92	Facility		$22.11	$25.90	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $24.78 / $24.78	Professional		$24.78	$24.78	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $23.88	Facility		$22.53	$23.88	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $27.03	Professional		$23.88	$23.88	$27.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $25.90 / $35.85	Professional		$24.78	$25.90	$35.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $46.18 / $89.98	Facility		$29.90	$46.18	$89.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.90 / $75.17	Professional		$23.88	$29.90	$75.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $59.40 / $71.50	Professional		$27.40	$59.40	$71.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $23.88	Facility		$22.53	$23.88	$23.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $28.41	Professional		$23.88	$23.88	$28.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $54.88 / $63.69	Facility		$54.88	$54.88	$63.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $54.88 / $63.69	Professional		$54.88	$54.88	$63.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $41.16	Professional		$23.88	$25.31	$41.16