Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $517.59 / $627.34	Facility		$127.50	$517.59	$627.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $121.50 / $127.50	Professional		$90.00	$121.50	$127.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Professional		$117.00	$117.00	$117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $218.11 / $497.66	Facility		$142.35	$218.11	$497.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $723.00 / $723.00	Professional		$723.00	$723.00	$723.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $202.50 / $370.50	Professional		$157.50	$202.50	$370.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $425.85 / $619.50	Facility		$154.50	$425.85	$619.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $127.50 / $619.50	Professional		$98.45	$127.50	$619.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $225.00 / $300.00	Professional		$222.00	$225.00	$300.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $146.09 / $232.32 / $497.66	Facility		$146.09	$232.32	$497.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $723.00 / $723.00	Professional		$723.00	$723.00	$723.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $165.00	Facility		$150.00	$150.00	$165.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $165.00	Professional		$150.00	$150.00	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $210.00	Professional		$63.00	$90.00	$210.00