Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.02 / $148.06 / $239.60	Facility		$113.02	$148.06	$239.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $113.02 / $139.41	Professional		$78.39	$113.02	$139.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $100.77 / $100.77	Professional		$85.65	$100.77	$100.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $186.03 / $219.35	Facility		$65.00	$186.03	$219.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $159.10 / $295.01	Professional		$92.02	$159.10	$295.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $113.02 / $174.00 / $409.13	Facility		$113.02	$174.00	$409.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $113.02 / $144.71	Professional		$78.39	$113.02	$144.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $339.90 / $339.90	Professional		$339.90	$339.90	$339.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $186.03 / $219.35	Facility		$65.00	$186.03	$219.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $157.72 / $295.01	Professional		$92.02	$157.72	$295.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Facility		$66.25	$66.25	$66.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25
United Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $160.11 / $240.17	Professional		$111.82	$160.11	$240.17