Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.69 / $550.69 / $550.69	Facility		$466.69	$550.69	$550.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $109.23 / $154.22	Professional		$47.00	$109.23	$154.22
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $135.72 / $218.41	Professional		$130.78	$135.72	$218.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $145.46 / $208.45	Facility		$145.46	$145.46	$208.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $68.42 / $166.57	Professional		$35.29	$68.42	$166.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $196.11 / $259.18	Professional		$85.00	$196.11	$259.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $550.69 / $550.69	Facility		$550.69	$550.69	$550.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $111.79 / $550.69	Professional		$88.83	$111.79	$550.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $114.78 / $223.51	Professional		$47.54	$114.78	$223.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $145.46 / $208.45	Facility		$145.46	$145.46	$208.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $68.42 / $166.57	Professional		$35.84	$68.42	$166.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $136.01 / $169.66	Professional		$131.24	$136.01	$169.66
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $130.57 / $203.11	Professional		$71.31	$130.57	$203.11