Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.01 / $1,475.30 / $1,549.09	Facility		$366.01	$1,475.30	$1,549.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $97.63 / $236.90	Professional		$63.84	$97.63	$236.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $958.88 / $1,309.35 / $8,459.92	Facility		$958.88	$1,309.35	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $67.23 / $67.23	Professional		$64.80	$67.23	$67.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $372.49 / $1,746.48	Facility		$104.99	$372.49	$1,746.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $167.49 / $700.59	Professional		$100.06	$167.49	$700.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $108.62 / $245.15	Professional		$75.34	$108.62	$245.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $366.01 / $558.83 / $1,475.30	Facility		$366.01	$558.83	$1,475.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $78.65 / $236.90	Professional		$52.99	$78.65	$236.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $574.10 / $744.90	Professional		$120.40	$574.10	$744.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $310.41 / $1,746.48	Facility		$104.84	$310.41	$1,746.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $167.49 / $700.59	Professional		$100.06	$167.49	$700.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.13 / $61.13 / $125.98	Facility		$61.13	$61.13	$125.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $61.13 / $125.98	Professional		$61.13	$61.13	$125.98
United Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $107.56 / $247.49	Professional		$80.68	$107.56	$247.49