Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $375.08 / $572.97	Facility		$110.97	$375.08	$572.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $110.97 / $880.91	Professional		$82.20	$110.97	$880.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $473.18 / $630.54 / $8,459.92	Facility		$473.18	$630.54	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $106.86 / $106.86	Professional		$106.86	$106.86	$106.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $202.19 / $454.20	Facility		$130.01	$202.19	$454.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $126.22 / $237.57	Professional		$63.01	$126.22	$237.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $184.95 / $260.30	Professional		$81.52	$184.95	$260.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $375.08 / $565.80	Facility		$116.45	$375.08	$565.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $116.45 / $565.80	Professional		$93.16	$116.45	$565.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $202.76 / $274.00	Professional		$145.60	$202.76	$274.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $227.92 / $454.20	Facility		$133.49	$227.92	$454.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $126.77 / $238.48	Professional		$63.01	$126.77	$238.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $150.69	Facility		$137.00	$137.00	$150.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $150.69	Professional		$137.00	$137.00	$150.69
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $182.92	Professional		$57.54	$82.20	$182.92