Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $316.26 / $383.34	Facility		$77.91	$316.26	$383.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $74.23 / $77.91	Professional		$67.83	$74.23	$77.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $390.88 / $520.86 / $8,459.92	Facility		$390.88	$520.86	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $71.48 / $71.48	Professional		$71.48	$71.48	$71.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $135.44 / $304.25	Facility		$86.99	$135.44	$304.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $441.80 / $441.80	Professional		$441.80	$441.80	$441.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $123.74 / $226.40	Professional		$96.24	$123.74	$226.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $260.22 / $378.56	Facility		$94.41	$260.22	$378.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $77.91 / $378.56	Professional		$67.90	$77.91	$378.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $137.49 / $183.32	Professional		$135.66	$137.49	$183.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $148.09 / $304.25	Facility		$89.10	$148.09	$304.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $441.80 / $441.80	Professional		$441.80	$441.80	$441.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $124.49	Facility		$91.66	$91.66	$124.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $124.49	Professional		$91.66	$91.66	$124.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $135.80	Professional		$38.50	$55.00	$135.80