Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $94.82 / $94.82	Facility		$94.82	$94.82	$94.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $99.48 / $117.49	Professional		$80.68	$99.48	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $107.39 / $194.94	Professional		$103.49	$107.39	$194.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $228.67 / $228.67 / $228.67	Facility		$228.67	$228.67	$228.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $153.79 / $224.48	Professional		$119.62	$153.79	$224.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $94.82 / $94.82	Facility		$94.82	$94.82	$94.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $99.82 / $125.86	Professional		$82.36	$99.82	$125.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $157.19 / $157.19	Facility		$157.19	$157.19	$157.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $189.10 / $267.10	Professional		$157.19	$189.10	$267.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $101.84 / $106.93	Professional		$96.31	$101.84	$106.93
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $117.51 / $199.61	Professional		$90.81	$117.51	$199.61