Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $193.06 / $1,472.77	Facility		$108.66	$193.06	$1,472.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $101.76 / $197.26	Professional		$89.06	$101.76	$197.26
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 $104.41 / $108.35 / $253.55	Professional		$104.41	$108.35	$253.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $206.70 / $1,492.08	Facility		$117.42	$206.70	$1,492.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $130.06 / $243.28	Professional		$77.73	$130.06	$243.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $149.66 / $219.74	Professional		$111.33	$149.66	$219.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $198.85 / $557.87	Facility		$108.66	$198.85	$557.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $108.66 / $332.45	Professional		$89.06	$108.66	$332.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $90.10 / $475.20	Professional		$90.10	$90.10	$475.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $206.25 / $1,739.92	Facility		$94.32	$206.25	$1,739.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $130.06 / $243.28	Professional		$78.19	$130.06	$243.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $104.29 / $104.29	Facility		$68.65	$104.29	$104.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $104.29 / $112.72	Professional		$68.65	$104.29	$112.72
United Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $126.03 / $222.40	Professional		$88.72	$126.03	$222.40