Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $554.12 / $846.51	Facility		$163.94	$554.12	$846.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $163.94 / $1,301.43	Professional		$121.44	$163.94	$1,301.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $699.07 / $931.55 / $8,459.92	Facility		$699.07	$931.55	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $157.87 / $157.87	Professional		$157.87	$157.87	$157.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $298.94 / $671.52	Facility		$192.08	$298.94	$671.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $186.67 / $351.36	Professional		$93.18	$186.67	$351.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $273.24 / $384.56	Professional		$120.43	$273.24	$384.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $554.12 / $835.91	Facility		$172.04	$554.12	$835.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $172.04 / $835.91	Professional		$137.63	$172.04	$835.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $303.60 / $404.80	Professional		$299.55	$303.60	$404.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $336.73 / $671.52	Facility		$197.09	$336.73	$671.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $187.49 / $352.70	Professional		$93.18	$187.49	$352.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $222.64	Facility		$202.40	$202.40	$222.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $222.64	Professional		$202.40	$202.40	$222.64
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $270.24	Professional		$85.01	$121.44	$270.24