Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $425.25 / $627.34	Facility		$121.50	$425.25	$627.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.50 / $964.50	Professional		$100.00	$121.50	$964.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $518.09 / $690.38 / $8,459.92	Facility		$518.09	$690.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Professional		$117.00	$117.00	$117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $221.54 / $497.66	Facility		$142.35	$221.54	$497.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $160.33 / $339.19	Professional		$70.66	$160.33	$339.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $202.50 / $285.00	Professional		$89.25	$202.50	$285.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $425.25 / $619.50	Facility		$127.50	$425.25	$619.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $127.50 / $619.50	Professional		$108.00	$127.50	$619.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $225.00 / $300.00	Professional		$222.00	$225.00	$300.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $146.09 / $249.55 / $497.66	Facility		$146.09	$249.55	$497.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $160.54 / $339.19	Professional		$97.50	$160.54	$339.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $291.58	Facility		$150.00	$150.00	$291.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $291.58	Professional		$150.00	$150.00	$291.58
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $225.00	Professional		$63.00	$90.00	$225.00