Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.98 / $70.80	Facility		$41.91	$41.98	$70.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $62.95 / $95.69	Professional		$41.91	$62.95	$95.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $78.87 / $78.87	Professional		$76.00	$78.87	$78.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $80.19 / $139.28	Professional		$51.63	$80.19	$139.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $121.54 / $121.87	Professional		$91.41	$121.54	$121.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $70.80	Facility		$41.91	$41.91	$70.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $69.59 / $145.59	Professional		$43.22	$69.59	$145.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $99.80 / $205.20	Professional		$3.00	$99.80	$205.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $82.46 / $142.49	Professional		$52.32	$82.46	$142.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $76.53 / $87.24	Facility		$47.12	$76.53	$87.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $74.54 / $85.37	Professional		$47.12	$74.54	$85.37
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 $67.18 / $93.32 / $139.16	Professional		$67.18	$93.32	$139.16