Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $195.05 / $277.99	Professional		$167.85	$195.05	$277.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $280.30 / $363.70	Professional		$205.78	$280.30	$363.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.37 / $450.37 / $450.37	Facility		$450.37	$450.37	$450.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $311.00 / $567.33	Professional		$235.91	$311.00	$567.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $208.30 / $323.35	Professional		$168.06	$208.30	$323.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $225.56 / $514.60	Professional		$203.50	$225.56	$514.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $201.88 / $209.72	Professional		$195.66	$201.88	$209.72
United Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $225.09 / $389.21	Professional		$178.70	$225.09	$389.21