Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $125.53 / $223.59	Facility		$74.28	$125.53	$223.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $89.00	Professional		$73.94	$73.94	$89.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $80.20 / $8,459.92	Facility		$68.48	$80.20	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $76.72 / $76.72	Professional		$76.72	$76.72	$76.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $73.94	Facility		$69.75	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.00	Professional		$73.94	$73.94	$76.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $80.20 / $92.49	Professional		$76.73	$80.20	$92.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $111.42 / $223.59	Facility		$74.28	$111.42	$223.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.67 / $141.27	Professional		$73.94	$74.67	$141.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $105.90 / $128.69	Professional		$27.40	$105.90	$128.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $73.94	Facility		$69.75	$73.94	$73.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.73	Professional		$73.94	$73.94	$76.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $62.68 / $72.73	Facility		$62.68	$62.68	$72.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $62.68 / $72.73	Professional		$62.68	$62.68	$72.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $99.82	Professional		$73.94	$78.38	$99.82