Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $524.83 / $774.20	Facility		$149.94	$524.83	$774.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $151.80 / $1,190.32	Professional		$146.24	$151.80	$1,190.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $639.39 / $852.01 / $8,459.92	Facility		$639.39	$852.01	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $144.38 / $144.38	Professional		$144.38	$144.38	$144.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.68 / $273.30 / $613.92	Facility		$175.68	$273.30	$613.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $197.61 / $418.43	Professional		$87.17	$197.61	$418.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $249.91 / $351.73	Professional		$110.14	$249.91	$351.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.35 / $524.83 / $764.55	Facility		$157.35	$524.83	$764.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $224.93 / $1,048.23	Professional		$138.84	$224.93	$1,048.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $277.68 / $370.24	Professional		$273.98	$277.68	$370.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $307.98 / $613.92	Facility		$180.09	$307.98	$613.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $198.04 / $418.43	Professional		$120.40	$198.04	$418.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $185.12 / $1,901.90	Facility		$185.12	$185.12	$1,901.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $1,901.90	Professional		$185.12	$185.12	$1,901.90
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $277.68	Professional		$77.75	$111.07	$277.68