Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $75.56 / $98.16	Facility		$32.61	$75.56	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $39.07	Professional		$26.71	$26.71	$39.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $28.98 / $8,459.92	Facility		$24.74	$28.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $27.72 / $27.72	Professional		$27.72	$27.72	$27.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $26.71 / $26.71	Facility		$25.20	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $28.98	Professional		$26.71	$26.71	$28.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $27.72 / $37.39	Professional		$27.72	$27.72	$37.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $70.39 / $98.16	Facility		$32.61	$70.39	$98.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.61 / $79.43	Professional		$26.71	$32.61	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $78.20 / $106.30	Professional		$27.40	$78.20	$106.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $26.71 / $26.71	Facility		$25.20	$26.71	$26.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.75	Professional		$26.71	$26.71	$32.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $35.20 / $40.85	Facility		$35.20	$35.20	$40.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $35.20 / $40.85	Professional		$35.20	$35.20	$40.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $48.88	Professional		$26.71	$28.31	$48.88