Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $565.77 / $685.73	Facility		$139.37	$565.77	$685.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $132.81 / $139.37	Professional		$121.33	$132.81	$139.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $699.14 / $931.64 / $8,459.92	Facility		$699.14	$931.64	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $127.89 / $127.89	Professional		$127.89	$127.89	$127.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.59 / $242.34 / $544.39	Facility		$155.59	$242.34	$544.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.29 / $790.29 / $790.29	Professional		$790.29	$790.29	$790.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $221.35 / $404.98	Professional		$172.16	$221.35	$404.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $168.88 / $465.50 / $677.16	Facility		$168.88	$465.50	$677.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $139.37 / $677.16	Professional		$121.45	$139.37	$677.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $245.94 / $327.92	Professional		$242.66	$245.94	$327.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $264.91 / $544.39	Facility		$159.63	$264.91	$544.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $790.29 / $790.29 / $790.29	Professional		$790.29	$790.29	$790.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $222.66	Facility		$163.96	$163.96	$222.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $222.66	Professional		$163.96	$163.96	$222.66
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $242.90	Professional		$68.86	$98.38	$242.90