Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $1,063.83 / $1,569.41	Facility		$303.95	$1,063.83	$1,569.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $303.95 / $2,412.86	Professional		$225.15	$303.95	$2,412.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,296.08 / $1,727.09 / $8,459.92	Facility		$1,296.08	$1,727.09	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $292.70 / $292.70	Professional		$292.70	$292.70	$292.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.11 / $554.34 / $1,245.25	Facility		$356.11	$554.34	$1,245.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $346.11 / $651.45	Professional		$172.77	$346.11	$651.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $506.59 / $712.98	Professional		$223.28	$506.59	$712.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $1,063.83 / $1,549.78	Facility		$318.95	$1,063.83	$1,549.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $255.17 / $318.95 / $1,549.78	Professional		$255.17	$318.95	$1,549.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.37 / $562.88 / $750.50	Professional		$555.37	$562.88	$750.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $365.22 / $624.29 / $1,245.25	Facility		$365.22	$624.29	$1,245.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $347.63 / $653.94	Professional		$172.77	$347.63	$653.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $375.25 / $412.78	Facility		$375.25	$375.25	$412.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $412.78	Professional		$375.25	$375.25	$412.78
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $525.35	Professional		$157.61	$225.15	$525.35