Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.27 / $490.95 / $724.22	Facility		$140.27	$490.95	$724.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $140.27 / $1,113.48	Professional		$115.20	$140.27	$1,113.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $750.71 / $1,000.35 / $8,459.92	Facility		$750.71	$1,000.35	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $135.07 / $135.07	Professional		$135.07	$135.07	$135.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.34 / $255.88 / $574.80	Facility		$164.34	$255.88	$574.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $166.50 / $360.86	Professional		$90.12	$166.50	$360.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $233.78 / $329.02	Professional		$103.04	$233.78	$329.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $490.95 / $724.22	Facility		$147.19	$490.95	$724.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $147.19 / $715.19	Professional		$124.68	$147.19	$715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $247.20 / $346.34	Professional		$167.60	$247.20	$346.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $279.77 / $574.80	Facility		$168.02	$279.77	$574.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $176.90 / $360.86	Professional		$93.34	$176.90	$360.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Facility		$173.17	$173.17	$173.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $176.63	Professional		$173.17	$173.17	$176.63
United Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $173.17 / $299.58	Professional		$98.35	$173.17	$299.58