Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $66.62 / $219.98	Facility		$38.29	$66.62	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $34.85 / $45.20	Professional		$30.74	$34.85	$45.20
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 $36.02 / $37.38 / $63.55	Professional		$36.02	$37.38	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $81.68 / $215.83	Facility		$37.47	$81.68	$215.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $43.67 / $68.94	Professional		$28.52	$43.67	$68.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $48.42 / $58.48	Professional		$42.33	$48.42	$58.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $70.06 / $151.25	Facility		$38.29	$70.06	$151.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $37.01 / $67.55	Professional		$31.12	$37.01	$67.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $103.10	Professional		$43.10	$43.10	$103.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $80.15 / $260.37	Facility		$35.79	$80.15	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $43.64 / $68.48	Professional		$29.35	$43.64	$68.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $36.09 / $36.09	Facility		$35.00	$36.09	$36.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $36.09 / $39.22	Professional		$35.00	$36.09	$39.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $38.07 / $66.45	Professional		$31.00	$38.07	$66.45