Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $46.08 / $76.19	Facility		$30.72	$46.08	$76.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.72 / $30.72	Professional		$28.91	$30.72	$30.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $30.00 / $8,459.92	Facility		$25.61	$30.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $45.47 / $76.19	Facility		$30.72	$45.47	$76.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.72 / $47.92	Professional		$28.91	$30.72	$47.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Facility		$7.28	$7.28	$7.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
United Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Facility		$36.14	$36.14	$36.14
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.80 / $38.40	Professional		$30.00	$31.80	$38.40