Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $44.80 / $501.96	Facility		$18.87	$44.80	$501.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.80 / $501.96	Professional		$17.14	$20.80	$501.96
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 $210.78 / $391.31 / $691.29	Professional		$210.78	$391.31	$691.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $81.06 / $536.37	Professional		$10.94	$81.06	$536.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $485.10 / $623.70 / $643.34	Professional		$485.10	$623.70	$643.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $44.80 / $501.96	Facility		$18.87	$44.80	$501.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.68 / $501.96	Professional		$17.14	$23.68	$501.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Facility		$29.12	$29.12	$29.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $82.61 / $554.07	Professional		$10.94	$82.61	$554.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $19.77 / $422.03	Facility		$17.66	$19.77	$422.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $79.66 / $463.35	Professional		$17.62	$79.66	$463.35
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $307.66 / $427.08	Professional		$72.42	$307.66	$427.08