Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $435.41 / $775.47	Facility		$256.08	$435.41	$775.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $308.66	Professional		$256.08	$256.08	$308.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $237.18 / $277.83 / $8,459.92	Facility		$237.18	$277.83	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $265.75 / $265.75	Professional		$265.75	$265.75	$265.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $256.08 / $256.08	Facility		$241.59	$256.08	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $265.75	Professional		$256.08	$256.08	$265.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $265.75 / $320.35	Professional		$265.75	$265.75	$320.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $386.46 / $775.47	Facility		$257.64	$386.46	$775.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $258.64 / $518.21	Professional		$256.08	$258.64	$518.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $384.10 / $467.20	Professional		$27.40	$384.10	$467.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $256.08 / $256.08	Facility		$241.59	$256.08	$256.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $268.95	Professional		$256.08	$256.08	$268.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $219.06 / $219.06 / $254.19	Facility		$219.06	$219.06	$254.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $219.06 / $254.19	Professional		$219.06	$219.06	$254.19
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $353.66	Professional		$256.08	$271.45	$353.66