Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $49.12	Facility		$30.94	$30.94	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $38.68 / $50.45	Professional		$21.95	$38.68	$50.45
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 $48.05 / $63.10 / $63.10	Professional		$48.05	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $73.94	Facility		$37.90	$37.90	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $46.83	Professional		$32.22	$32.22	$46.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $63.10 / $119.89	Professional		$58.05	$63.10	$119.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $49.12	Facility		$30.94	$30.94	$49.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $38.68 / $55.25	Professional		$17.79	$38.68	$55.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $90.00 / $124.30	Professional		$78.20	$90.00	$124.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $73.94	Facility		$37.90	$37.90	$73.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $73.13	Professional		$32.22	$32.22	$73.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $60.06 / $60.06	Facility		$45.11	$60.06	$60.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $60.06 / $60.06	Professional		$45.11	$60.06	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $31.48 / $55.14	Professional		$21.51	$31.48	$55.14