Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $118.80 / $228.24	Facility		$108.80	$118.80	$228.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $223.16 / $272.83	Professional		$207.86	$223.16	$272.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $225.71 / $225.71	Professional		$191.85	$225.71	$225.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $118.80 / $228.24	Facility		$108.80	$118.80	$228.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $222.75 / $271.00	Professional		$204.73	$222.75	$271.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $248.75	Professional		$207.49	$207.49	$248.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.81 / $201.81 / $201.81	Professional		$201.81	$201.81	$201.81
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49