Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $94.79 / $513.15	Facility		$25.01	$94.79	$513.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $25.01 / $30.26	Professional		$16.94	$25.01	$30.26
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 $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $35.04 / $102.14	Facility		$0.92	$35.04	$102.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $17.35 / $46.12	Professional		$8.67	$17.35	$46.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.79 / $25.42	Professional		$10.53	$15.79	$25.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $89.87 / $405.60	Facility		$30.26	$89.87	$405.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $25.01 / $36.31	Professional		$16.94	$25.01	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $437.60 / $437.60	Professional		$32.29	$437.60	$437.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $35.04 / $102.14	Facility		$1.12	$35.04	$102.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $18.00 / $43.38	Professional		$8.67	$18.00	$43.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.46 / $15.92	Facility		$15.46	$15.46	$15.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $15.92	Professional		$15.46	$15.46	$15.92
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $16.96 / $34.97	Professional		$8.48	$16.96	$34.97