Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $567.57 / $867.00	Facility		$167.92	$567.57	$867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $167.92 / $176.21	Professional		$124.39	$167.92	$176.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $716.03 / $954.14 / $8,459.92	Facility		$716.03	$954.14	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $161.69 / $161.69	Professional		$161.69	$161.69	$161.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $306.19 / $687.82	Facility		$196.74	$306.19	$687.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $191.56 / $371.37	Professional		$95.47	$191.56	$371.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $279.87 / $393.89	Professional		$123.35	$279.87	$393.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $567.57 / $856.19	Facility		$176.21	$567.57	$856.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $169.99 / $856.19	Professional		$136.06	$169.99	$856.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $310.95 / $414.62	Professional		$306.82	$310.95	$414.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.82 / $344.89 / $687.82	Facility		$201.82	$344.89	$687.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $197.30 / $372.78	Professional		$97.31	$197.30	$372.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $228.04	Facility		$207.31	$207.31	$228.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $228.04	Professional		$207.31	$207.31	$228.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $290.23	Professional		$87.07	$124.39	$290.23