Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $116.85 / $141.62	Facility		$28.78	$116.85	$141.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.43 / $28.78	Professional		$20.32	$27.43	$28.78
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 $26.41 / $26.41 / $26.41	Professional		$26.41	$26.41	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $44.02 / $111.92	Facility		$22.67	$44.02	$111.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $163.21	Professional		$163.21	$163.21	$163.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $45.71 / $83.63	Professional		$35.54	$45.71	$83.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $96.13 / $139.84	Facility		$34.88	$96.13	$139.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $28.78 / $139.84	Professional		$22.22	$28.78	$139.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $50.79 / $67.72	Professional		$50.11	$50.79	$67.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $44.02 / $111.92	Facility		$22.67	$44.02	$111.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $163.21	Professional		$163.21	$163.21	$163.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $37.25	Facility		$33.86	$33.86	$37.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $37.25	Professional		$33.86	$33.86	$37.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $47.40	Professional		$14.22	$20.32	$47.40