Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $909.86 / $1,182.04	Facility		$392.63	$909.86	$1,182.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $470.48	Professional		$392.63	$392.63	$470.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $363.65 / $425.97 / $8,459.92	Facility		$363.65	$425.97	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $407.45 / $407.45 / $407.45	Professional		$407.45	$407.45	$407.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $392.63	Facility		$370.40	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $403.66	Professional		$392.63	$392.63	$403.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.44 / $407.45 / $491.15	Professional		$407.44	$407.45	$491.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $392.71 / $606.58 / $1,182.04	Facility		$392.71	$606.58	$1,182.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.71 / $815.40	Professional		$392.63	$392.71	$815.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $336.10 / $719.40	Professional		$27.40	$336.10	$719.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $392.63	Facility		$370.40	$392.63	$392.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $407.45	Professional		$392.63	$392.63	$407.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $339.33 / $339.33 / $393.75	Facility		$339.33	$339.33	$393.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $339.33 / $339.33 / $393.75	Professional		$339.33	$339.33	$393.75
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $416.19 / $512.38	Professional		$388.77	$416.19	$512.38