Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $685.79 / $1,011.68	Facility		$195.94	$685.79	$1,011.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $198.36 / $1,555.42	Professional		$179.01	$198.36	$1,555.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,516.57 / $8,459.92	Facility		$1,138.08	$1,516.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $188.68 / $188.68	Professional		$188.68	$188.68	$188.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.57 / $357.46 / $803.00	Facility		$229.57	$357.46	$803.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $258.41 / $547.29	Professional		$141.44	$258.41	$547.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $326.57 / $459.61	Professional		$143.93	$326.57	$459.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $685.79 / $1,011.68	Facility		$205.62	$685.79	$1,011.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $216.26 / $999.05	Professional		$179.01	$216.26	$999.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $362.85 / $483.80	Professional		$358.01	$362.85	$483.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $235.50 / $402.46 / $803.00	Facility		$235.50	$402.46	$803.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $258.41 / $547.29	Professional		$142.88	$258.41	$547.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $362.46	Facility		$241.90	$241.90	$362.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $362.46	Professional		$241.90	$241.90	$362.46
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $395.41	Professional		$101.60	$145.13	$395.41