Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Facility		$38.20	$38.20	$38.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $38.20 / $38.20	Professional		$35.96	$38.20	$38.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $42.28 / $8,639.91	Facility		$36.09	$42.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $46.64	Professional		$44.94	$44.94	$46.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $56.22	Professional		$44.94	$44.94	$56.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $64.56	Facility		$38.20	$38.20	$64.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $38.20 / $64.56	Professional		$35.96	$38.20	$64.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $71.90 / $82.50	Professional		$64.80	$71.90	$82.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $50.88	Professional		$44.94	$44.94	$50.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $18.86	Facility		$16.25	$16.25	$18.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $18.86	Professional		$16.25	$16.25	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $66.48	Professional		$50.94	$50.94	$66.48