Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.62 / $958.28 / $1,244.94	Facility		$413.62	$958.28	$1,244.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $495.52	Professional		$422.89	$422.89	$495.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $391.68 / $458.80 / $8,459.92	Facility		$391.68	$458.80	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $438.85 / $438.85	Professional		$438.85	$438.85	$438.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $422.89 / $422.89	Facility		$398.96	$422.89	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $438.85	Professional		$422.89	$422.89	$438.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $438.85 / $592.05	Professional		$438.85	$438.85	$592.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $413.62 / $814.95 / $1,244.94	Facility		$413.62	$814.95	$1,244.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $413.62 / $422.89 / $707.66	Professional		$413.62	$422.89	$707.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.67 / $726.10 / $726.10	Professional		$562.67	$726.10	$726.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $422.89 / $422.89	Facility		$398.96	$422.89	$422.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $441.74	Professional		$422.89	$422.89	$441.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $409.53 / $409.53 / $475.21	Facility		$409.53	$409.53	$475.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $409.53 / $409.53 / $475.21	Professional		$409.53	$409.53	$475.21
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $703.90	Professional		$422.89	$448.26	$703.90