Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.61 / $779.14 / $1,149.43	Facility		$222.61	$779.14	$1,149.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $222.61 / $1,767.16	Professional		$164.90	$222.61	$1,767.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $949.24 / $1,264.91 / $8,459.92	Facility		$949.24	$1,264.91	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $214.37 / $214.37	Professional		$214.37	$214.37	$214.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.81 / $405.84 / $911.66	Facility		$260.81	$405.84	$911.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $253.44 / $477.02	Professional		$126.51	$253.44	$477.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $371.02 / $522.17	Professional		$163.52	$371.02	$522.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $779.14 / $1,135.05	Facility		$233.61	$779.14	$1,135.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $233.61 / $1,135.05	Professional		$186.88	$233.61	$1,135.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $412.25 / $577.60	Professional		$406.75	$412.25	$577.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $457.23 / $911.66	Facility		$267.62	$457.23	$911.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $254.55 / $478.85	Professional		$126.51	$254.55	$478.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $302.31	Facility		$274.83	$274.83	$302.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $302.31	Professional		$274.83	$274.83	$302.31
United Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $115.43 / $115.43	Facility		$115.43	$115.43	$115.43
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $412.25	Professional		$115.43	$164.90	$412.25