Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.06 / $491.15 / $593.69	Facility		$217.06	$491.15	$593.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $116.44 / $197.41	Professional		$97.74	$116.44	$197.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $636.92 / $886.46 / $1,253.38	Facility		$636.92	$886.46	$1,253.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $112.12 / $112.12	Professional		$112.12	$112.12	$112.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $239.16 / $301.18	Facility		$239.16	$239.16	$301.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $138.16 / $258.29	Professional		$74.78	$138.16	$258.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $194.06 / $273.13	Professional		$85.54	$194.06	$273.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $217.06 / $570.69 / $593.69	Facility		$217.06	$570.69	$593.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $146.08 / $593.69	Professional		$103.96	$146.08	$593.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $209.70 / $444.80	Professional		$142.19	$209.70	$444.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $239.16 / $301.18	Facility		$239.16	$239.16	$301.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $150.13 / $291.33	Professional		$75.62	$150.13	$291.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $179.79	Professional		$143.75	$143.75	$179.79
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $143.75 / $248.69	Professional		$79.06	$143.75	$248.69