Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $873.18 / $1,288.14	Facility		$249.48	$873.18	$1,288.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $249.48 / $261.80	Professional		$184.80	$249.48	$261.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,063.80 / $1,417.57 / $8,459.92	Facility		$1,063.80	$1,417.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $240.24 / $240.24 / $240.24	Professional		$240.24	$240.24	$240.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.29 / $455.17 / $1,022.49	Facility		$292.29	$455.17	$1,022.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $284.52 / $552.04	Professional		$141.85	$284.52	$552.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $415.80 / $585.20	Professional		$183.26	$415.80	$585.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $873.18 / $1,272.04	Facility		$261.80	$873.18	$1,272.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $252.56 / $1,272.04	Professional		$202.14	$252.56	$1,272.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $462.00 / $616.00	Professional		$455.84	$462.00	$616.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $299.73 / $512.41 / $1,022.49	Facility		$299.73	$512.41	$1,022.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $293.30 / $554.16	Professional		$144.66	$293.30	$554.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $338.80	Facility		$308.00	$308.00	$338.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $338.80	Professional		$308.00	$308.00	$338.80
United Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $129.36 / $129.36	Facility		$129.36	$129.36	$129.36
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $563.64	Professional		$129.36	$184.80	$563.64