Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.82 / $327.82 / $327.82	Facility		$327.82	$327.82	$327.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $334.55 / $422.45	Professional		$262.70	$334.55	$422.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $347.79 / $360.91 / $573.38	Professional		$347.79	$360.91	$573.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $390.44 / $671.60	Professional		$315.00	$390.44	$671.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $760.10 / $760.10 / $760.10	Facility		$760.10	$760.10	$760.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $475.72 / $711.93	Professional		$370.23	$475.72	$711.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $340.68 / $624.16	Professional		$293.31	$340.68	$624.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Facility		$214.20	$214.20	$214.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $544.10 / $696.80	Professional		$214.20	$544.10	$696.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $390.44 / $644.66	Professional		$313.69	$390.44	$644.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.17 / $338.17 / $338.17	Facility		$338.17	$338.17	$338.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $338.17 / $352.36	Professional		$299.27	$338.17	$352.36
United Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $334.82 / $578.50	Professional		$271.89	$334.82	$578.50