Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $587.80 / $647.38	Facility		$133.24	$587.80	$647.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $126.97 / $133.24	Professional		$83.08	$126.97	$133.24
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $122.26 / $122.26	Professional		$122.26	$122.26	$122.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $203.66 / $468.39	Facility		$104.95	$203.66	$468.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.54 / $755.54 / $755.54	Professional		$755.54	$755.54	$755.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $211.61 / $387.17	Professional		$164.59	$211.61	$387.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $241.24 / $647.38 / $647.38	Facility		$241.24	$647.38	$647.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $128.54 / $647.38	Professional		$106.59	$128.54	$647.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $235.12 / $313.50	Professional		$231.99	$235.12	$313.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $198.23 / $520.48	Facility		$109.23	$198.23	$520.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $755.54 / $755.54 / $755.54	Professional		$755.54	$755.54	$755.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $172.43	Facility		$156.75	$156.75	$172.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $172.43	Professional		$156.75	$156.75	$172.43
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $219.45	Professional		$65.84	$94.05	$219.45