Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $976.09 / $1,183.09	Facility		$240.45	$976.09	$1,183.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $229.13 / $240.45	Professional		$169.73	$229.13	$240.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $220.65 / $220.65	Professional		$220.65	$220.65	$220.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $387.64 / $938.83	Facility		$268.45	$387.64	$938.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.48 / $1,363.48 / $1,363.48	Professional		$1,363.48	$1,363.48	$1,363.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $381.89 / $698.71	Professional		$297.02	$381.89	$698.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $291.37 / $803.10 / $1,168.29	Facility		$291.37	$803.10	$1,168.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $240.45 / $1,168.29	Professional		$185.65	$240.45	$1,168.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $424.32 / $565.76	Professional		$418.66	$424.32	$565.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.49 / $438.11 / $938.83	Facility		$275.49	$438.11	$938.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.48 / $1,363.48 / $1,363.48	Professional		$1,363.48	$1,363.48	$1,363.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $311.17	Facility		$282.88	$282.88	$311.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $311.17	Professional		$282.88	$282.88	$311.17
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $424.32	Professional		$118.81	$169.73	$424.32