Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $176.39 / $177.88	Facility		$161.06	$176.39	$177.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $176.39 / $219.47	Professional		$161.06	$176.39	$219.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $173.34 / $173.34	Professional		$147.34	$173.34	$173.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $176.39 / $177.88	Facility		$161.06	$176.39	$177.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $176.39 / $219.05	Professional		$157.06	$176.39	$219.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $198.17	Professional		$161.71	$161.71	$198.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $159.37 / $159.37	Professional		$159.37	$159.37	$159.37
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71