Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $158.90 / $1,359.00	Facility		$158.90	$158.90	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $146.83 / $200.03	Professional		$125.10	$146.83	$200.03
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 $126.53 / $131.31 / $251.39	Professional		$126.53	$131.31	$251.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $151.37 / $226.26	Facility		$76.19	$151.37	$226.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $187.89 / $328.71	Professional		$118.09	$187.89	$328.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $195.75 / $262.75	Professional		$133.68	$195.75	$262.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $180.24 / $1,812.00	Facility		$158.90	$180.24	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $150.65 / $249.45	Professional		$127.29	$150.65	$249.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $216.60 / $309.89	Professional		$216.60	$216.60	$309.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $151.37 / $188.55	Facility		$76.19	$151.37	$188.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $187.28 / $328.71	Professional		$119.37	$187.28	$328.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $133.22 / $173.00	Facility		$133.22	$133.22	$173.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $133.22 / $143.94	Professional		$131.09	$133.22	$143.94
United Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $152.30 / $277.10	Professional		$116.14	$152.30	$277.10