Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $26.94 / $68.88	Facility		$26.35	$26.94	$68.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.02	Professional		$26.94	$26.94	$28.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $26.94 / $8,639.91	Facility		$23.00	$26.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Facility		$26.94	$26.94	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $27.96	Professional		$26.94	$26.94	$27.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $36.49	Professional		$26.94	$26.94	$36.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $26.94 / $68.88	Facility		$26.35	$26.94	$68.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.93	Professional		$26.94	$26.94	$29.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $23.10 / $26.70	Professional		$22.00	$23.10	$26.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $26.94 / $26.94	Facility		$25.42	$26.94	$26.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $30.05	Professional		$26.94	$26.94	$30.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $24.78	Facility		$21.36	$21.36	$24.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $24.78	Professional		$21.36	$21.36	$24.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $40.29	Professional		$26.94	$26.94	$40.29