Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.80 / $793.80 / $1,171.03	Facility		$226.80	$793.80	$1,171.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $226.80 / $1,800.40	Professional		$70.45	$226.80	$1,800.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $324.45 / $432.36 / $8,459.92	Facility		$324.45	$432.36	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $218.40	Professional		$218.40	$218.40	$218.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.72 / $413.58 / $929.05	Facility		$265.72	$413.58	$929.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $298.94 / $633.20	Professional		$131.91	$298.94	$633.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $366.80 / $532.00	Professional		$166.60	$366.80	$532.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $793.80 / $1,156.40	Facility		$238.00	$793.80	$1,156.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $238.00 / $1,156.40	Professional		$176.40	$238.00	$1,156.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $420.00 / $560.00	Professional		$414.40	$420.00	$560.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $465.83 / $929.05	Facility		$272.66	$465.83	$929.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $299.69 / $633.20	Professional		$181.84	$299.69	$633.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $308.00	Facility		$280.00	$280.00	$308.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $308.00	Professional		$280.00	$280.00	$308.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $373.86	Professional		$117.60	$168.00	$373.86