Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $29.85 / $42.80	Facility		$14.22	$29.85	$42.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $15.74	Professional		$14.31	$14.31	$15.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $15.53 / $8,459.92	Facility		$13.26	$15.53	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Professional		$14.85	$14.85	$14.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $14.31 / $14.31	Facility		$13.50	$14.31	$14.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.85	Professional		$14.31	$14.31	$14.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $17.89	Professional		$14.31	$14.31	$17.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $21.96 / $42.80	Facility		$14.22	$21.96	$42.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.31 / $24.03	Professional		$14.22	$14.31	$24.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $27.40 / $28.80	Professional		$21.36	$27.40	$28.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $14.31 / $14.31	Facility		$13.50	$14.31	$14.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $15.03	Professional		$14.31	$14.31	$15.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $13.15 / $15.26	Facility		$13.15	$13.15	$15.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $15.26	Professional		$13.15	$13.15	$15.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $15.17 / $19.76	Professional		$14.31	$15.17	$19.76