Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $66.06 / $172.68	Facility		$65.41	$66.06	$172.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $67.37	Professional		$65.41	$65.41	$67.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $65.40 / $8,639.91	Facility		$55.83	$65.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $67.87	Professional		$65.40	$65.40	$67.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $88.55	Professional		$65.41	$65.41	$88.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $66.06 / $172.68	Facility		$65.41	$66.06	$172.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $111.64	Professional		$65.41	$65.41	$111.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $62.90 / $96.10	Professional		$54.70	$62.90	$96.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $65.40 / $65.40	Facility		$61.70	$65.40	$65.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $74.04	Professional		$65.40	$65.40	$74.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $42.88 / $49.76	Facility		$42.88	$42.88	$49.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $42.88 / $49.76	Professional		$42.88	$42.88	$49.76
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $90.33	Professional		$65.41	$65.41	$90.33