Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $232.15 / $739.66	Facility		$192.22	$232.15	$739.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $168.11 / $379.99	Professional		$94.70	$168.11	$379.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $53.75 / $481.76	Professional		$48.25	$53.75	$481.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $60.70 / $244.41	Professional		$29.85	$60.70	$244.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $323.39 / $759.27	Facility		$192.22	$323.39	$759.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $192.22 / $396.88	Professional		$95.74	$192.22	$396.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $223.90 / $223.90	Professional		$223.90	$223.90	$223.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $53.75 / $481.76	Professional		$48.25	$53.75	$481.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $40.06 / $40.06	Professional		$40.06	$40.06	$40.06
United Facility/Professional Professional Modifier Low / Median / High Price $276.81 / $386.66 / $653.92	Professional		$276.81	$386.66	$653.92