Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.29 / $245.30 / $638.54	Facility		$244.29	$245.30	$638.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $257.57	Professional		$245.30	$245.30	$257.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $209.41 / $245.30 / $8,639.91	Facility		$209.41	$245.30	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $266.13	Professional		$245.30	$245.30	$266.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $245.30 / $313.33	Professional		$208.51	$245.30	$313.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $244.29 / $245.30 / $638.54	Facility		$244.29	$245.30	$638.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $272.52	Professional		$245.30	$245.30	$272.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $503.40 / $503.40	Professional		$413.90	$503.40	$503.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $245.30 / $245.30	Facility		$231.42	$245.30	$245.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $277.70	Professional		$245.30	$245.30	$277.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $241.75 / $280.52	Facility		$241.75	$241.75	$280.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.75 / $241.75 / $280.52	Professional		$241.75	$241.75	$280.52
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $390.87	Professional		$245.30	$245.30	$390.87