Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $424.16 / $755.44	Facility		$248.50	$424.16	$755.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $300.69	Professional		$248.50	$248.50	$300.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $230.16 / $269.60 / $8,459.92	Facility		$230.16	$269.60	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $257.87 / $257.87	Professional		$257.87	$257.87	$257.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $248.50 / $248.50	Facility		$234.43	$248.50	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $257.87	Professional		$248.50	$248.50	$257.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $239.33 / $310.85	Professional		$239.33	$239.33	$310.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $376.47 / $755.44	Facility		$250.98	$376.47	$755.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $250.98 / $534.16	Professional		$248.50	$250.98	$534.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $393.40 / $478.40	Professional		$27.40	$393.40	$478.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $248.50 / $248.50	Facility		$234.43	$248.50	$248.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $263.11	Professional		$248.50	$248.50	$263.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $217.57 / $217.57 / $252.47	Facility		$217.57	$217.57	$252.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $217.57 / $252.47	Professional		$217.57	$217.57	$252.47
United Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $263.41 / $351.14	Professional		$243.90	$263.41	$351.14