Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.11 / $252.79 / $641.41	Facility		$109.11	$252.79	$641.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.72	Professional		$95.90	$95.90	$130.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $88.82 / $104.04 / $8,459.92	Facility		$88.82	$104.04	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $99.52 / $99.52	Professional		$99.52	$99.52	$99.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $95.90	Facility		$90.47	$95.90	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $108.03	Professional		$95.90	$95.90	$108.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $104.04 / $134.26	Professional		$99.52	$104.04	$134.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.11 / $184.40 / $328.41	Facility		$109.11	$184.40	$328.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $109.11 / $278.72	Professional		$95.90	$109.11	$278.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $444.30 / $2,549.60	Professional		$27.40	$444.30	$2,549.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $95.90	Facility		$90.47	$95.90	$95.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $122.14	Professional		$95.90	$95.90	$122.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.66 / $220.66 / $256.05	Facility		$220.66	$220.66	$256.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $220.66 / $256.05	Professional		$220.66	$220.66	$256.05
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $187.96	Professional		$95.90	$101.65	$187.96