Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $74.53 / $93.16	Facility		$74.53	$74.53	$93.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $93.94 / $127.82	Professional		$74.53	$93.94	$127.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $151.99 / $151.99	Professional		$151.99	$151.99	$151.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $205.79 / $220.39	Professional		$159.59	$205.79	$220.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $74.53 / $93.16	Facility		$74.53	$74.53	$93.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $96.48 / $143.74	Professional		$74.53	$96.48	$143.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $226.70 / $299.50	Professional		$187.00	$226.70	$299.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $144.66 / $144.66	Facility		$89.07	$144.66	$144.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $144.66 / $144.66	Professional		$89.07	$144.66	$144.66
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $75.83 / $131.65	Professional		$64.45	$75.83	$131.65