Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $822.88 / $1,265.64	Facility		$245.12	$822.88	$1,265.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $245.12 / $1,945.85	Professional		$34.36	$245.12	$1,945.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $280.52 / $8,459.92	Facility		$210.52	$280.52	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $208.28 / $236.04 / $236.04	Professional		$208.28	$236.04	$236.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $402.98 / $885.15	Facility		$196.70	$402.98	$885.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $56.63 / $451.71	Professional		$26.25	$56.63	$451.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $408.54 / $574.98	Professional		$180.06	$408.54	$574.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $217.89 / $822.88 / $1,249.82	Facility		$217.89	$822.88	$1,249.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $257.23 / $1,249.82	Professional		$190.65	$257.23	$1,249.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $69.30 / $605.24	Professional		$47.00	$69.30	$605.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $402.98 / $1,004.02	Facility		$196.70	$402.98	$1,004.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $68.30 / $451.71	Professional		$26.38	$68.30	$451.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $302.62 / $302.62	Professional		$59.42	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $181.57 / $378.28	Professional		$55.13	$181.57	$378.28