Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $581.22 / $704.00	Facility		$212.50	$581.22	$704.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $115.40 / $336.66	Professional		$108.90	$115.40	$336.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $709.71 / $987.74 / $1,396.59	Facility		$709.71	$987.74	$1,396.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $109.77	Professional		$109.77	$109.77	$109.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $234.12 / $335.60	Facility		$234.12	$234.12	$335.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $135.34 / $287.82	Professional		$82.41	$135.34	$287.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $189.99 / $267.39	Professional		$83.73	$189.99	$267.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $581.22 / $635.71	Facility		$212.50	$581.22	$635.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $119.62 / $581.22	Professional		$108.90	$119.62	$581.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $211.09 / $381.60	Professional		$158.40	$211.09	$381.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $234.12 / $335.60	Facility		$234.12	$234.12	$335.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $158.76 / $318.45	Professional		$83.33	$158.76	$318.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $140.72 / $200.32	Professional		$140.72	$140.72	$200.32
United Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $140.72 / $243.46	Professional		$77.40	$140.72	$243.46