Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $32.86 / $55.82	Facility		$22.51	$32.86	$55.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $22.51 / $24.33	Professional		$21.18	$22.51	$24.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $21.98 / $8,459.92	Facility		$18.76	$21.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $21.98	Professional		$21.98	$21.98	$21.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $22.29 / $29.26	Professional		$22.29	$22.29	$29.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $32.86 / $55.82	Facility		$22.51	$32.86	$55.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $22.51 / $55.37	Professional		$21.18	$22.51	$55.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $43.30 / $52.60	Professional		$27.40	$43.30	$52.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $23.39 / $27.15	Facility		$23.39	$23.39	$27.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $23.39 / $27.15	Professional		$23.39	$23.39	$27.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.39 / $31.19	Professional		$22.07	$23.39	$31.19