Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $531.41 / $12,424.67	Facility		$229.37	$531.41	$12,424.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $272.95	Professional		$227.28	$227.28	$272.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $246.57 / $8,459.92	Facility		$210.50	$246.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $235.85 / $235.85	Professional		$235.85	$235.85	$235.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $227.28	Facility		$214.41	$227.28	$227.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $235.85	Professional		$227.28	$227.28	$235.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $222.59 / $291.48	Professional		$222.59	$222.59	$291.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $531.41 / $9,466.42	Facility		$229.37	$531.41	$9,466.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $229.37 / $475.56	Professional		$227.28	$229.37	$475.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $253.60 / $430.40	Professional		$27.40	$253.60	$430.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $227.28	Facility		$214.41	$227.28	$227.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $239.45	Professional		$227.28	$227.28	$239.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.21 / $199.21 / $231.16	Facility		$199.21	$199.21	$231.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $199.21 / $231.16	Professional		$199.21	$199.21	$231.16
United Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $300.01	Professional		$227.28	$240.92	$300.01