Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $72.26 / $90.33	Facility		$72.26	$72.26	$90.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $90.33 / $163.62	Professional		$72.26	$90.33	$163.62
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 $147.37 / $147.37 / $147.37	Professional		$147.37	$147.37	$147.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $199.54 / $213.69	Professional		$154.74	$199.54	$213.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $72.26 / $90.33	Facility		$72.26	$72.26	$90.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $90.33 / $163.62	Professional		$72.26	$90.33	$163.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $219.80 / $290.30	Professional		$181.30	$219.80	$290.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $140.27 / $140.27	Facility		$86.37	$140.27	$140.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $140.27 / $140.27	Professional		$86.37	$140.27	$140.27
United Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $73.52 / $122.53	Professional		$57.57	$73.52	$122.53