Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $129.93 / $175.20	Facility		$120.68	$129.93	$175.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $131.74 / $175.20	Professional		$109.68	$131.74	$175.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $166.02 / $304.91	Professional		$159.99	$166.02	$304.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $181.45 / $303.77	Professional		$123.12	$181.45	$303.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $219.36 / $328.28	Professional		$159.97	$219.36	$328.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $129.93 / $175.20	Facility		$120.68	$129.93	$175.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $147.88 / $200.99	Professional		$111.24	$147.88	$200.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $191.70 / $264.23	Professional		$170.56	$191.70	$264.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $199.80 / $199.80	Facility		$161.82	$199.80	$199.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $181.81 / $342.40	Professional		$123.12	$181.81	$342.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $139.31 / $165.63	Facility		$121.11	$139.31	$165.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $155.69 / $166.53	Professional		$121.11	$155.69	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $181.09 / $315.94	Professional		$143.54	$181.09	$315.94