Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $525.04 / $774.57	Facility		$150.01	$525.04	$774.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $150.01 / $1,190.83	Professional		$111.12	$150.01	$1,190.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $639.66 / $852.38 / $8,459.92	Facility		$639.66	$852.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.46 / $144.46	Professional		$144.46	$144.46	$144.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $273.77 / $615.02	Facility		$175.75	$273.77	$615.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $170.73 / $321.35	Professional		$85.22	$170.73	$321.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $250.02 / $351.88	Professional		$110.19	$250.02	$351.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $525.04 / $764.88	Facility		$157.41	$525.04	$764.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $157.41 / $764.88	Professional		$125.94	$157.41	$764.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $277.80 / $533.60	Professional		$274.10	$277.80	$533.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $308.11 / $615.02	Facility		$180.41	$308.11	$615.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $171.48 / $322.58	Professional		$85.22	$171.48	$322.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Facility		$185.20	$185.20	$203.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Professional		$185.20	$185.20	$203.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $277.80	Professional		$77.78	$111.12	$277.80