Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $368.12 / $527.87	Facility		$175.38	$368.12	$527.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $238.46 / $262.30	Professional		$213.96	$238.46	$262.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $220.85 / $258.70 / $8,459.92	Facility		$220.85	$258.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $247.45 / $247.45	Professional		$247.45	$247.45	$247.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $238.46 / $238.46	Facility		$224.96	$238.46	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $258.70 / $357.96	Professional		$247.46	$258.70	$357.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $296.39 / $527.87	Facility		$175.38	$296.39	$527.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $175.38 / $238.46 / $447.99	Professional		$175.38	$238.46	$447.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $317.17 / $2,474.60	Professional		$27.40	$317.17	$2,474.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $238.46 / $238.46	Facility		$224.96	$238.46	$238.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $247.45	Professional		$238.46	$238.46	$247.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.96 / $245.96 / $285.41	Facility		$245.96	$245.96	$285.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.96 / $245.96 / $285.41	Professional		$245.96	$245.96	$285.41
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $410.99	Professional		$238.46	$252.77	$410.99