Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.27 / $266.64 / $7,781.43	Facility		$148.27	$266.64	$7,781.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $139.91 / $335.37	Professional		$122.72	$139.91	$335.37
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 $144.19 / $233.10 / $932.01	Professional		$144.19	$233.10	$932.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.21 / $239.66 / $7,570.74	Facility		$100.21	$239.66	$7,570.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $265.39 / $633.48	Professional		$119.52	$265.39	$633.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $222.76 / $477.60	Professional		$171.92	$222.76	$477.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.27 / $271.33 / $2,947.51	Facility		$148.27	$271.33	$2,947.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $148.27 / $593.46	Professional		$122.81	$148.27	$593.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.90 / $698.80 / $750.70	Professional		$348.90	$698.80	$750.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $216.99 / $9,214.70	Facility		$100.18	$216.99	$9,214.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $257.43 / $621.29	Professional		$124.88	$257.43	$621.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $142.31 / $549.85	Facility		$142.31	$142.31	$549.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $142.31 / $549.85	Professional		$139.46	$142.31	$549.85
United Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $207.94 / $492.00	Professional		$141.71	$207.94	$492.00