Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $583.96 / $892.09	Facility		$172.77	$583.96	$892.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $172.77 / $1,371.52	Professional		$99.57	$172.77	$1,371.52
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 $166.37 / $166.37 / $166.37	Professional		$166.37	$166.37	$166.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $314.89 / $707.38	Facility		$202.43	$314.89	$707.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $204.90 / $482.12	Professional		$70.34	$204.90	$482.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $287.95 / $497.38	Professional		$126.91	$287.95	$497.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $583.96 / $880.93	Facility		$181.31	$583.96	$880.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $181.31 / $880.93	Professional		$153.58	$181.31	$880.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $319.95 / $426.60	Professional		$315.68	$319.95	$426.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $207.48 / $354.87 / $707.38	Facility		$207.48	$354.87	$707.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $208.51 / $482.12	Professional		$82.20	$208.51	$482.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.14 / $213.30 / $213.30	Facility		$168.14	$213.30	$213.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $213.30 / $213.30	Professional		$168.14	$213.30	$213.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $127.98 / $319.95	Professional		$89.59	$127.98	$319.95