Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $639.04 / $774.57	Facility		$157.41	$639.04	$774.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $150.01 / $157.41	Professional		$111.12	$150.01	$157.41
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.46 / $144.46	Professional		$144.46	$144.46	$144.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $253.94 / $615.02	Facility		$175.75	$253.94	$615.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.66 / $892.66 / $892.66	Professional		$892.66	$892.66	$892.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $250.02 / $457.44	Professional		$194.46	$250.02	$457.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $525.78 / $764.88	Facility		$190.76	$525.78	$764.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $157.41 / $764.88	Professional		$121.55	$157.41	$764.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $277.80 / $370.40	Professional		$274.10	$277.80	$370.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $286.89 / $615.02	Facility		$180.41	$286.89	$615.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $892.66 / $892.66 / $892.66	Professional		$892.66	$892.66	$892.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Facility		$185.20	$185.20	$203.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Professional		$185.20	$185.20	$203.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $335.29	Professional		$77.78	$111.12	$335.29