Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $66.53 / $127.89	Facility		$17.43	$66.53	$127.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $51.42 / $58.88	Professional		$48.39	$51.42	$58.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $126.27 / $147.91 / $8,459.92	Facility		$126.27	$147.91	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Facility		$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $54.09 / $54.09	Professional		$9.25	$54.09	$54.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $67.56 / $127.89	Facility		$47.40	$67.56	$127.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $51.57 / $72.59	Professional		$48.39	$51.57	$72.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $13.70 / $33.79	Professional		$11.90	$13.70	$33.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Facility		$51.42	$51.42	$51.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $14.62	Facility		$12.60	$12.60	$14.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $14.62	Professional		$12.60	$12.60	$14.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $53.42 / $86.86	Professional		$50.40	$53.42	$86.86