Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $340.20 / $501.87	Facility		$97.20	$340.20	$501.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $102.00 / $771.60	Professional		$94.80	$102.00	$771.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $414.47 / $552.29 / $8,459.92	Facility		$414.47	$552.29	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $93.60 / $93.60	Professional		$93.60	$93.60	$93.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $177.04 / $397.70	Facility		$113.88	$177.04	$397.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $128.12 / $271.05	Professional		$56.47	$128.12	$271.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $162.00 / $228.00	Professional		$71.40	$162.00	$228.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $340.20 / $495.60	Facility		$102.00	$340.20	$495.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $495.60	Professional		$90.00	$120.00	$495.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $180.00 / $240.00	Professional		$177.60	$180.00	$240.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $199.64 / $397.70	Facility		$116.81	$199.64	$397.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $128.29 / $271.05	Professional		$78.00	$128.29	$271.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $132.00	Facility		$120.00	$120.00	$132.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $132.00	Professional		$120.00	$120.00	$132.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Facility		$50.40	$50.40	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $168.00	Professional		$50.40	$72.00	$168.00