Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.90 / $828.84 / $1,274.80	Facility		$246.90	$828.84	$1,274.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $246.90 / $1,959.93	Professional		$103.74	$246.90	$1,959.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $551.24 / $734.56 / $8,459.92	Facility		$551.24	$734.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $237.75 / $237.75	Professional		$237.75	$237.75	$237.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.27 / $450.34 / $1,011.63	Facility		$289.27	$450.34	$1,011.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $325.36 / $689.48	Professional		$143.63	$325.36	$689.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.36 / $411.49 / $579.14	Professional		$181.36	$411.49	$579.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $219.46 / $828.84 / $1,258.86	Facility		$219.46	$828.84	$1,258.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $259.08 / $1,258.86	Professional		$192.03	$259.08	$1,258.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $451.12 / $457.21 / $609.62	Professional		$451.12	$457.21	$609.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $507.11 / $1,011.63	Facility		$296.58	$507.11	$1,011.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $326.33 / $689.48	Professional		$198.17	$326.33	$689.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $304.81 / $335.29	Facility		$304.81	$304.81	$335.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $304.81 / $335.29	Professional		$304.81	$304.81	$335.29
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $426.73	Professional		$128.02	$182.89	$426.73