Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $137.28 / $191.43	Facility		$63.60	$137.28	$191.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $76.31	Professional		$61.44	$62.05	$76.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.90 / $66.65 / $8,459.92	Facility		$56.90	$66.65	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $61.44	Facility		$57.96	$61.44	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $63.75	Professional		$61.44	$61.44	$63.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $66.65 / $83.19	Professional		$63.76	$66.65	$83.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $107.48 / $191.43	Facility		$63.60	$107.48	$191.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.60 / $154.91	Professional		$61.44	$63.60	$154.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $122.14 / $160.90	Professional		$27.40	$122.14	$160.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $61.44	Facility		$57.96	$61.44	$61.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $69.55	Professional		$61.44	$61.44	$69.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $65.48 / $75.98	Facility		$65.48	$65.48	$75.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $65.48 / $75.98	Professional		$65.48	$65.48	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $84.85	Professional		$61.44	$65.13	$84.85