Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $236.70 / $421.56	Facility		$139.21	$236.70	$421.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $167.79	Professional		$139.21	$139.21	$167.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $151.03 / $8,459.92	Facility		$128.93	$151.03	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $144.47 / $144.47	Professional		$144.47	$144.47	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $139.21 / $139.21	Facility		$131.33	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $144.47	Professional		$139.21	$139.21	$144.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.47 / $174.14	Professional		$144.46	$144.47	$174.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $216.33 / $421.56	Facility		$140.06	$216.33	$421.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.06 / $265.12	Professional		$139.21	$140.06	$265.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $122.20 / $256.89	Professional		$27.40	$122.20	$256.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $139.21 / $139.21	Facility		$131.33	$139.21	$139.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $147.11	Professional		$139.21	$139.21	$147.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $118.65 / $118.65 / $137.68	Facility		$118.65	$118.65	$137.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $118.65 / $137.68	Professional		$118.65	$118.65	$137.68
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $192.25	Professional		$139.21	$147.56	$192.25