Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $826.00 / $1,218.52	Facility		$236.00	$826.00	$1,218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $236.00 / $1,873.44	Professional		$174.82	$236.00	$1,873.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,006.33 / $1,340.98 / $8,459.92	Facility		$1,006.33	$1,340.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $227.26 / $227.26	Professional		$227.26	$227.26	$227.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.49 / $430.51 / $967.08	Facility		$276.49	$430.51	$967.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $268.39 / $505.16	Professional		$133.97	$268.39	$505.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $393.34 / $553.58	Professional		$173.36	$393.34	$553.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $826.00 / $1,203.32	Facility		$247.66	$826.00	$1,203.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $247.66 / $1,203.32	Professional		$198.12	$247.66	$1,203.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.21 / $437.04 / $686.40	Professional		$431.21	$437.04	$686.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.68 / $484.72 / $967.08	Facility		$283.68	$484.72	$967.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $269.56 / $507.09	Professional		$133.97	$269.56	$507.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $320.50	Facility		$291.36	$291.36	$320.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $320.50	Professional		$291.36	$291.36	$320.50
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $407.90	Professional		$122.37	$174.82	$407.90