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 $134.01 / $142.00 / $1,113.48	Professional		$134.01	$142.00	$1,113.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $873.28 / $1,163.70 / $8,459.92	Facility		$873.28	$1,163.70	$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 / $263.06 / $574.80	Facility		$164.34	$263.06	$574.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $166.50 / $391.77	Professional		$101.48	$166.50	$391.77
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 $129.88 / $155.06 / $715.19	Professional		$129.88	$155.06	$715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $256.29 / $346.34	Professional		$195.00	$256.29	$346.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $288.10 / $574.80	Facility		$168.44	$288.10	$574.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $185.42 / $391.77	Professional		$108.72	$185.42	$391.77
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 Facility Modifier Low / Median / High Price $101.62 / $101.62 / $101.62	Facility		$101.62	$101.62	$101.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $173.17 / $313.00	Professional		$103.90	$173.17	$313.00