Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $478.42 / $705.74	Facility		$136.69	$478.42	$705.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $136.69 / $1,085.06	Professional		$58.46	$136.69	$1,085.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $582.85 / $776.67 / $8,459.92	Facility		$582.85	$776.67	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $131.62 / $131.62	Professional		$131.62	$131.62	$131.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $249.11 / $559.60	Facility		$160.15	$249.11	$559.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $180.23 / $381.40	Professional		$79.45	$180.23	$381.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $227.81 / $320.63	Professional		$100.41	$227.81	$320.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $478.42 / $696.94	Facility		$143.44	$478.42	$696.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $143.44 / $696.94	Professional		$106.31	$143.44	$696.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $253.12 / $337.50	Professional		$249.75	$253.12	$337.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $280.75 / $559.60	Facility		$164.35	$280.75	$559.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $180.52 / $381.40	Professional		$109.74	$180.52	$381.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $168.75 / $168.75	Facility		$78.84	$168.75	$168.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $168.75 / $168.75	Professional		$78.84	$168.75	$168.75
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $225.32	Professional		$70.88	$101.25	$225.32