Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.32 / $609.26 / $609.26	Facility		$516.32	$609.26	$609.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $119.49 / $184.40	Professional		$114.16	$119.49	$184.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $743.94 / $1,035.38 / $1,463.94	Facility		$743.94	$1,035.38	$1,463.94
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.43 / $245.43 / $351.78	Facility		$245.43	$245.43	$351.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $141.94 / $301.77	Professional		$86.41	$141.94	$301.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $199.15 / $280.29	Professional		$87.77	$199.15	$280.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $609.26 / $609.26 / $609.26	Facility		$609.26	$609.26	$609.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $120.97 / $948.55	Professional		$109.16	$120.97	$948.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $221.28 / $476.00	Professional		$166.10	$221.28	$476.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.43 / $245.43 / $351.78	Facility		$245.43	$245.43	$351.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $166.41 / $334.00	Professional		$87.21	$166.41	$334.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $147.52 / $210.00	Professional		$147.52	$147.52	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $147.52 / $241.37	Professional		$81.14	$147.52	$241.37