Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.75 / $1,175.23 / $1,233.99	Facility		$883.75	$1,175.23	$1,233.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $280.00 / $350.00	Professional		$272.02	$280.00	$350.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $548.00 / $637.00 / $896.00	Professional		$548.00	$637.00	$896.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $492.65 / $1,302.88	Facility		$150.00	$492.65	$1,302.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $396.00 / $500.00	Professional		$150.00	$396.00	$500.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $883.75 / $883.75 / $1,175.23	Facility		$883.75	$883.75	$1,175.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $297.56 / $602.00	Professional		$150.00	$297.56	$602.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $808.96 / $808.96 / $898.12	Facility		$808.96	$808.96	$898.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $475.00 / $1,302.88	Facility		$125.00	$475.00	$1,302.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $425.00 / $500.00	Professional		$150.00	$425.00	$500.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $385.22 / $385.22 / $490.48	Professional		$385.22	$385.22	$490.48
United Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $453.85 / $868.00	Professional		$364.54	$453.85	$868.00