Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $802.99 / $1,585.92	Facility		$163.19	$802.99	$1,585.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $155.52 / $163.19	Professional		$115.20	$155.52	$163.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Professional		$299.52	$299.52	$299.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $498.90 / $1,115.56	Facility		$202.43	$498.90	$1,115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.88 / $1,850.88 / $1,850.88	Professional		$1,850.88	$1,850.88	$1,850.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $518.40 / $948.48	Professional		$403.20	$518.40	$948.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.79 / $662.52 / $1,585.92	Facility		$213.79	$662.52	$1,585.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $163.19 / $1,585.92	Professional		$126.01	$163.19	$1,585.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $568.32 / $576.00 / $768.00	Professional		$568.32	$576.00	$768.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $485.16 / $1,274.58	Facility		$202.43	$485.16	$1,274.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.88 / $1,850.88 / $1,850.88	Professional		$1,850.88	$1,850.88	$1,850.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $211.20 / $384.00 / $384.00	Facility		$211.20	$384.00	$384.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $384.00 / $384.00	Professional		$211.20	$384.00	$384.00
United Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $80.64 / $80.64	Facility		$80.64	$80.64	$80.64
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $364.80	Professional		$80.64	$115.20	$364.80