Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $286.69 / $422.89	Facility		$81.91	$286.69	$422.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $85.95 / $650.20	Professional		$79.88	$85.95	$650.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $349.26 / $465.40 / $8,459.92	Facility		$349.26	$465.40	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $78.87	Professional		$78.87	$78.87	$78.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.97 / $149.47 / $335.76	Facility		$95.97	$149.47	$335.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $107.85 / $228.84	Professional		$47.67	$107.85	$228.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $136.51 / $234.67	Professional		$60.16	$136.51	$234.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $286.69 / $417.63	Facility		$85.95	$286.69	$417.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $155.63 / $650.20	Professional		$75.84	$155.63	$650.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $151.68 / $202.24	Professional		$149.66	$151.68	$202.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $168.24 / $335.76	Facility		$98.55	$168.24	$335.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $108.31 / $228.84	Professional		$65.75	$108.31	$228.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $111.23	Facility		$101.12	$101.12	$111.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $111.23	Professional		$101.12	$101.12	$111.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $183.07	Professional		$42.47	$60.67	$183.07