Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $65.39 / $253.06	Facility		$65.39	$65.39	$253.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $75.12 / $252.80	Professional		$65.39	$75.12	$252.80
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 $120.98 / $158.87 / $158.87	Professional		$120.98	$158.87	$158.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $173.65	Facility		$86.21	$86.21	$173.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $152.27	Professional		$62.93	$62.93	$152.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $173.90 / $330.41	Professional		$159.99	$173.90	$330.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $65.39 / $253.06	Facility		$65.39	$65.39	$253.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $76.52 / $252.80	Professional		$65.02	$76.52	$252.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $226.40 / $342.60	Professional		$117.70	$226.40	$342.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $173.65	Facility		$86.21	$86.21	$173.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $180.38	Professional		$62.93	$62.93	$180.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $151.22 / $151.22	Facility		$113.59	$151.22	$151.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $151.22 / $165.52	Professional		$113.59	$151.22	$165.52
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $79.27 / $143.28	Professional		$57.70	$79.27	$143.28