Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $266.18 / $406.58	Facility		$78.75	$266.18	$406.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $79.72 / $625.13	Professional		$76.80	$79.72	$625.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $335.79 / $447.46 / $8,459.92	Facility		$335.79	$447.46	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $75.83	Professional		$75.83	$75.83	$75.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $143.66 / $322.72	Facility		$92.26	$143.66	$322.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $103.87 / $219.95	Professional		$45.82	$103.87	$219.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $131.25 / $184.72	Professional		$57.84	$131.25	$184.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $266.18 / $401.52	Facility		$82.64	$266.18	$401.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $83.30 / $401.52	Professional		$72.92	$83.30	$401.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $145.83 / $194.44	Professional		$143.88	$145.83	$194.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $161.72 / $322.72	Facility		$94.77	$161.72	$322.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $104.10 / $219.95	Professional		$63.26	$104.10	$219.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $97.22 / $109.13	Facility		$97.22	$97.22	$109.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $109.13	Professional		$97.22	$97.22	$109.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $136.11	Professional		$40.83	$58.33	$136.11