Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.35 / $68.61 / $68.61	Facility		$63.35	$68.61	$68.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $70.03 / $89.12	Professional		$63.35	$70.03	$89.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $102.23 / $140.88	Professional		$63.12	$102.23	$140.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $93.93 / $153.47	Professional		$71.38	$93.93	$153.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $109.05 / $109.39	Professional		$82.54	$109.05	$109.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $68.61 / $68.61	Facility		$68.61	$68.61	$68.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $71.59 / $126.09	Professional		$63.35	$71.59	$126.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $150.19 / $175.50	Professional		$123.80	$150.19	$175.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $99.88 / $153.47	Professional		$71.79	$99.88	$153.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Professional		$66.38	$66.38	$66.38
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $88.38 / $146.65	Professional		$71.38	$88.38	$146.65