Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.60 / $672.93 / $964.96	Facility		$320.60	$672.93	$964.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $350.38	Professional		$318.52	$318.52	$350.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $295.02 / $345.58 / $8,459.92	Facility		$295.02	$345.58	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $330.55 / $330.55	Professional		$330.55	$330.55	$330.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $318.52 / $318.52	Facility		$300.50	$318.52	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $330.55	Professional		$318.52	$318.52	$330.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $345.58 / $398.46	Professional		$330.55	$345.58	$398.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $320.60 / $495.18 / $964.96	Facility		$320.60	$495.18	$964.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $320.60 / $541.80	Professional		$318.52	$320.60	$541.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $634.00 / $634.00	Professional		$471.43	$634.00	$634.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $318.52 / $318.52	Facility		$300.50	$318.52	$318.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $338.03	Professional		$318.52	$318.52	$338.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.30 / $290.30 / $336.86	Facility		$290.30	$290.30	$336.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $290.30 / $336.86	Professional		$290.30	$290.30	$336.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.05 / $337.64 / $407.78	Professional		$318.05	$337.64	$407.78