Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $854.32 / $1,260.33	Facility		$244.09	$854.32	$1,260.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $244.09 / $1,937.68	Professional		$180.81	$244.09	$1,937.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,040.83 / $1,386.96 / $8,459.92	Facility		$1,040.83	$1,386.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $235.05 / $235.05	Professional		$235.05	$235.05	$235.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.98 / $445.02 / $999.68	Facility		$285.98	$445.02	$999.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $277.69 / $522.66	Professional		$138.61	$277.69	$522.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $406.82 / $572.57	Professional		$179.31	$406.82	$572.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $854.32 / $1,244.58	Facility		$256.14	$854.32	$1,244.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $256.14 / $1,244.58	Professional		$204.92	$256.14	$1,244.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $452.02 / $620.00	Professional		$446.00	$452.02	$620.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $293.44 / $501.35 / $999.68	Facility		$293.44	$501.35	$999.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $278.89 / $524.66	Professional		$138.61	$278.89	$524.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $331.49	Facility		$301.35	$301.35	$331.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $331.49	Professional		$301.35	$301.35	$331.49
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $452.03	Professional		$126.57	$180.81	$452.03