Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.03 / $989.63 / $1,039.10	Facility		$767.03	$989.63	$1,039.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $238.00 / $300.00	Professional		$230.00	$238.00	$300.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $536.00 / $707.00	Professional		$462.00	$536.00	$707.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $420.00 / $990.08	Facility		$140.00	$420.00	$990.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $225.00 / $408.00	Professional		$140.00	$225.00	$408.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $767.03 / $767.03 / $989.63	Facility		$767.03	$767.03	$989.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $247.00 / $458.80	Professional		$140.00	$247.00	$458.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $805.68 / $805.68 / $880.76	Facility		$805.68	$805.68	$880.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $414.86 / $990.08	Facility		$125.00	$414.86	$990.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $270.00 / $408.00	Professional		$140.00	$270.00	$408.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $317.24 / $317.24 / $413.04	Professional		$317.24	$317.24	$413.04
United Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $381.00 / $494.00	Professional		$290.51	$381.00	$494.00