Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $72.27 / $188.89	Facility		$71.55	$72.27	$188.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $72.27	Professional		$71.55	$71.55	$72.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $71.55 / $8,639.91	Facility		$61.08	$71.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $74.25 / $91.40	Professional		$70.88	$74.25	$91.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $72.27 / $188.89	Facility		$71.55	$72.27	$188.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $86.00	Professional		$71.55	$71.55	$86.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.60 / $27.20	Professional		$22.50	$23.60	$27.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $71.55 / $71.55	Facility		$67.50	$71.55	$71.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $74.25	Professional		$71.55	$71.55	$74.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $27.16	Facility		$23.40	$23.40	$27.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $27.16	Professional		$23.40	$23.40	$27.16
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $89.44	Professional		$71.55	$71.55	$89.44