Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $495.60 / $731.10	Facility		$141.60	$495.60	$731.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $141.60 / $148.59	Professional		$104.89	$141.60	$148.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $603.78 / $804.56 / $8,459.92	Facility		$603.78	$804.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $136.35 / $136.35	Professional		$136.35	$136.35	$136.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $258.30 / $580.25	Facility		$165.90	$258.30	$580.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $161.43 / $303.83	Professional		$80.48	$161.43	$303.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $235.99 / $332.14	Professional		$104.01	$235.99	$332.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $495.60 / $721.97	Facility		$148.59	$495.60	$721.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $143.34 / $721.97	Professional		$114.73	$143.34	$721.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $262.20 / $349.62	Professional		$258.72	$262.20	$349.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $290.83 / $580.25	Facility		$170.02	$290.83	$580.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $162.13 / $305.01	Professional		$80.58	$162.13	$305.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $192.29	Facility		$174.81	$174.81	$192.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $192.29	Professional		$174.81	$174.81	$192.29
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $262.22	Professional		$73.42	$104.89	$262.22