Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $238.62 / $751.00	Facility		$22.69	$238.62	$751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $124.10 / $221.62	Professional		$21.39	$124.10	$221.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,020.88 / $5,000.00 / $77,850.02	Facility		$1,020.88	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $260.88 / $362.01	Professional		$145.54	$260.88	$362.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $682.12 / $1,428.60	Facility		$32.03	$682.12	$1,428.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $151.03 / $344.92	Professional		$24.08	$151.03	$344.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Facility		$43.70	$43.70	$43.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.73 / $234.05 / $305.93	Professional		$178.73	$234.05	$305.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $298.00 / $679.00	Facility		$30.63	$298.00	$679.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $133.16 / $250.31	Professional		$21.39	$133.16	$250.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $378.60 / $541.60	Professional		$29.81	$378.60	$541.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $519.76 / $1,428.60	Facility		$32.03	$519.76	$1,428.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $151.03 / $346.59	Professional		$24.08	$151.03	$346.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $24.40 / $433.21	Facility		$19.87	$24.40	$433.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $177.82 / $197.79	Professional		$23.01	$177.82	$197.79
United Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $207.32 / $354.19	Professional		$164.09	$207.32	$354.19