Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $459.49 / $658.89	Facility		$218.91	$459.49	$658.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $238.59	Professional		$216.90	$216.90	$238.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $235.32 / $8,459.92	Facility		$200.89	$235.32	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $225.09	Professional		$225.09	$225.09	$225.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $225.09	Professional		$216.90	$216.90	$225.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $271.33	Professional		$216.90	$216.90	$271.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $338.11 / $658.89	Facility		$218.91	$338.11	$658.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $218.91 / $369.96	Professional		$216.90	$218.91	$369.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $325.35 / $420.40	Professional		$27.40	$325.35	$420.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $228.96	Professional		$216.90	$216.90	$228.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $188.98 / $219.29	Facility		$188.98	$188.98	$219.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.98 / $188.98 / $219.29	Professional		$188.98	$188.98	$219.29
United Facility/Professional Professional Modifier Low / Median / High Price $216.67 / $229.91 / $283.05	Professional		$216.67	$229.91	$283.05