Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.41 / $1,233.44 / $1,819.60	Facility		$352.41	$1,233.44	$1,819.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $369.81 / $2,797.50	Professional		$343.71	$369.81	$2,797.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,502.69 / $2,002.41 / $8,459.92	Facility		$1,502.69	$2,002.41	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $339.35 / $339.35	Professional		$339.35	$339.35	$339.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.89 / $642.86 / $1,444.10	Facility		$412.89	$642.86	$1,444.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.05 / $464.70 / $984.23	Professional		$205.05	$464.70	$984.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $569.94 / $826.63	Professional		$258.87	$569.94	$826.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $369.81 / $1,233.44 / $1,796.84	Facility		$369.81	$1,233.44	$1,796.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $528.62 / $1,796.84	Professional		$326.30	$528.62	$1,796.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $643.90 / $652.61 / $870.14	Professional		$643.90	$652.61	$870.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $423.47 / $723.83 / $1,444.10	Facility		$423.47	$723.83	$1,444.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $282.74 / $465.84 / $984.23	Professional		$282.74	$465.84	$984.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $435.07 / $792.86	Facility		$435.07	$435.07	$792.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $792.86	Professional		$435.07	$435.07	$792.86
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $261.04 / $609.10	Professional		$182.73	$261.04	$609.10