Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $50.15 / $1,359.00	Facility		$43.05	$50.15	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $46.95 / $120.00	Professional		$42.29	$46.95	$120.00
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 $38.77 / $45.61 / $45.61	Professional		$38.77	$45.61	$45.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $58.47 / $90.44	Professional		$46.11	$58.47	$90.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $114.72 / $114.72	Facility		$114.72	$114.72	$114.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $74.70 / $105.93	Professional		$55.11	$74.70	$105.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $50.15 / $1,812.00	Facility		$50.15	$50.15	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $46.95 / $120.00	Professional		$38.52	$46.95	$120.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.80 / $87.07	Professional		$44.67	$56.80	$87.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $49.96	Professional		$49.96	$49.96	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $51.67 / $86.61	Professional		$39.54	$51.67	$86.61