Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $102.16 / $123.77	Facility		$25.16	$102.16	$123.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.98 / $25.16	Professional		$19.73	$23.98	$25.16
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 $23.09 / $23.09 / $23.09	Professional		$23.09	$23.09	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $43.53 / $97.79	Facility		$28.09	$43.53	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $142.66 / $142.66	Professional		$142.66	$142.66	$142.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $39.96 / $73.11	Professional		$31.08	$39.96	$73.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $84.03 / $122.25	Facility		$30.49	$84.03	$122.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $25.16 / $122.25	Professional		$21.59	$25.16	$122.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $44.40 / $59.20	Professional		$43.81	$44.40	$59.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $47.83 / $97.79	Facility		$28.86	$47.83	$97.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $142.66 / $142.66	Professional		$142.66	$142.66	$142.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $36.18	Facility		$29.60	$29.60	$36.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $36.18	Professional		$29.60	$29.60	$36.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $44.40	Professional		$12.43	$17.76	$44.40