Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $86.11 / $153.37	Facility		$50.95	$86.11	$153.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $61.04	Professional		$52.49	$52.49	$61.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $56.94 / $8,459.92	Facility		$48.61	$56.94	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $54.47 / $54.47	Professional		$54.47	$54.47	$54.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $52.49 / $52.49	Facility		$49.52	$52.49	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $56.94 / $65.66	Professional		$54.47	$56.94	$65.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $78.70 / $153.37	Facility		$50.95	$78.70	$153.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $53.01 / $78.70	Professional		$50.95	$53.01	$78.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $80.62 / $98.50	Professional		$27.40	$80.62	$98.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $52.49 / $52.49	Facility		$49.52	$52.49	$52.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $54.47	Professional		$52.49	$52.49	$54.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $44.99 / $52.20	Facility		$44.99	$44.99	$52.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $44.99 / $52.20	Professional		$44.99	$44.99	$52.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $70.34	Professional		$52.49	$55.64	$70.34