Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.10 / $137.71 / $183.62	Facility		$126.10	$137.71	$183.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $155.18 / $280.89	Professional		$128.54	$155.18	$280.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $139.07 / $193.85 / $587.00	Professional	25	$139.07	$193.85	$587.00
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 $148.06 / $174.19 / $301.49	Professional		$148.06	$174.19	$301.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $170.47 / $248.66	Professional		$133.58	$170.47	$248.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $126.10 / $132.41 / $183.62	Facility		$126.10	$132.41	$183.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $171.38 / $327.87	Professional		$128.54	$171.38	$327.87
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $139.07 / $193.85 / $587.00	Professional	25	$139.07	$193.85	$587.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $186.91 / $205.60	Professional		$139.05	$186.91	$205.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $186.91 / $205.60	Professional		$139.05	$186.91	$205.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $209.53 / $395.80	Professional		$96.31	$209.53	$395.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $155.41 / $177.84	Facility		$149.94	$155.41	$177.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $155.41 / $177.84	Professional		$149.94	$155.41	$177.84
United Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $186.91 / $285.01	Professional		$136.77	$186.91	$285.01