Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $948.32 / $1,149.43	Facility		$233.61	$948.32	$1,149.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $222.61 / $233.61	Professional		$164.90	$222.61	$233.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $214.37 / $214.37	Professional		$214.37	$214.37	$214.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.81 / $405.84 / $911.66	Facility		$260.81	$405.84	$911.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.68 / $1,324.68 / $1,324.68	Professional		$1,324.68	$1,324.68	$1,324.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $371.02 / $678.83	Professional		$288.57	$371.02	$678.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $283.08 / $780.26 / $1,135.05	Facility		$283.08	$780.26	$1,135.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.37 / $233.61 / $1,135.05	Professional		$180.37	$233.61	$1,135.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $412.25 / $549.66	Professional		$406.75	$412.25	$549.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $457.23 / $911.66	Facility		$267.62	$457.23	$911.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.68 / $1,324.68 / $1,324.68	Professional		$1,324.68	$1,324.68	$1,324.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $302.31	Facility		$274.83	$274.83	$302.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $302.31	Professional		$274.83	$274.83	$302.31
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $384.76	Professional		$115.43	$164.90	$384.76