Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.95 / $171.95 / $171.95	Facility		$171.95	$171.95	$171.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $182.10 / $250.06	Professional		$154.31	$182.10	$250.06
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $260.25 / $351.55	Professional		$188.90	$260.25	$351.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $411.31 / $411.31 / $411.31	Facility		$411.31	$411.31	$411.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $282.93 / $516.13	Professional		$215.10	$282.93	$516.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $171.95 / $171.95 / $171.95	Facility		$171.95	$171.95	$171.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $188.03 / $256.17	Professional		$161.94	$188.03	$256.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $211.00 / $211.00 / $211.00	Facility		$211.00	$211.00	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $226.90 / $470.40	Professional		$211.00	$226.90	$470.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $185.81 / $192.40	Professional		$179.98	$185.81	$192.40
United Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $213.79 / $363.96	Professional		$166.24	$213.79	$363.96