Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $497.25 / $733.59	Facility		$142.07	$497.25	$733.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $142.07 / $1,127.82	Professional		$105.24	$142.07	$1,127.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $605.80 / $807.28 / $8,459.92	Facility		$605.80	$807.28	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $136.81 / $136.81	Professional		$136.81	$136.81	$136.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.45 / $259.27 / $582.41	Facility		$166.45	$259.27	$582.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $161.76 / $304.47	Professional		$80.75	$161.76	$304.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $236.79 / $333.26	Professional		$104.36	$236.79	$333.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $149.09 / $497.25 / $724.40	Facility		$149.09	$497.25	$724.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $149.09 / $724.40	Professional		$119.27	$149.09	$724.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $259.58 / $350.80	Professional		$132.00	$259.58	$350.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.65 / $291.81 / $582.41	Facility		$170.65	$291.81	$582.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $162.47 / $305.63	Professional		$80.75	$162.47	$305.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $192.94	Facility		$175.40	$175.40	$192.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $192.94	Professional		$175.40	$175.40	$192.94
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $234.19	Professional		$73.67	$105.24	$234.19