Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $1,359.00	Facility		$484.32	$484.32	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.64 / $440.35 / $549.41	Professional		$398.64	$440.35	$549.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.74 / $524.92 / $706.57	Facility		$308.74	$524.92	$706.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $555.54 / $1,074.77	Professional		$328.51	$555.54	$1,074.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $498.90 / $738.38 / $936.33	Professional		$498.90	$738.38	$936.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $1,350.62 / $1,812.00	Facility		$484.32	$1,350.62	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.64 / $433.17 / $549.41	Professional		$398.64	$433.17	$549.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $548.24 / $845.72	Professional		$518.40	$548.24	$845.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $299.57 / $524.92 / $588.80	Facility		$299.57	$524.92	$588.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $552.00 / $1,474.22	Professional		$328.51	$552.00	$1,474.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $538.96 / $538.96 / $572.00	Facility		$538.96	$538.96	$572.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $352.18 / $538.96 / $549.74	Professional		$352.18	$538.96	$549.74
United Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $565.91 / $977.97	Professional		$374.44	$565.91	$977.97