Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $34.20 / $54.31	Facility		$34.20	$34.20	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $42.76 / $55.77	Professional		$24.26	$42.76	$55.77
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 $53.11 / $69.75 / $69.75	Professional		$53.11	$69.75	$69.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $38.83	Facility		$37.70	$37.70	$38.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $38.83	Professional		$28.46	$32.04	$38.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $69.75 / $132.53	Professional		$64.17	$69.75	$132.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $34.20 / $54.31	Facility		$34.20	$34.20	$54.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $42.76 / $65.97	Professional		$29.45	$42.76	$65.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $99.50 / $137.40	Professional		$86.50	$99.50	$137.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $38.83	Facility		$37.70	$37.70	$38.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $49.30	Professional		$28.46	$32.04	$49.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $66.39 / $66.39	Facility		$49.87	$66.39	$66.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $66.39 / $66.39	Professional		$49.87	$66.39	$66.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.79 / $60.95	Professional		$23.20	$34.79	$60.95