Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $162.18 / $196.57	Facility		$39.95	$162.18	$196.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $38.07 / $39.95	Professional		$28.20	$38.07	$39.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $64.61 / $156.47	Facility		$44.60	$64.61	$156.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.54 / $226.54 / $226.54	Professional		$226.54	$226.54	$226.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $63.45 / $116.09	Professional		$49.35	$63.45	$116.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.41 / $133.43 / $194.11	Facility		$48.41	$133.43	$194.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $39.95 / $194.11	Professional		$30.85	$39.95	$194.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $70.50 / $94.00	Professional		$69.56	$70.50	$94.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $72.59 / $156.47	Facility		$45.65	$72.59	$156.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $226.54 / $226.54 / $226.54	Professional		$226.54	$226.54	$226.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $51.70	Facility		$47.00	$47.00	$51.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $51.70	Professional		$47.00	$47.00	$51.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $86.01	Professional		$19.73	$28.20	$86.01