Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.28 / $564.37 / $564.37	Facility		$478.28	$564.37	$564.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $111.84 / $165.13	Professional		$88.08	$111.84	$165.13
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $145.31 / $223.83	Professional		$140.03	$145.31	$223.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $86.08 / $158.47	Facility		$86.08	$86.08	$158.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $140.94 / $381.22	Professional		$66.05	$140.94	$381.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $202.92 / $266.97	Professional		$88.64	$202.92	$266.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $564.37 / $564.37 / $564.37	Facility		$564.37	$564.37	$564.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $111.84 / $564.37	Professional		$95.11	$111.84	$564.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $121.96 / $247.70	Professional		$63.96	$121.96	$247.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $86.08 / $158.47	Facility		$86.08	$86.08	$158.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $140.94 / $381.22	Professional		$66.05	$140.94	$381.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $139.38 / $155.16	Professional		$135.16	$139.38	$155.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $140.03 / $256.13	Professional		$86.47	$140.03	$256.13