Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $467.19	Facility		$120.72	$120.72	$467.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $141.27 / $198.23	Professional		$118.89	$141.27	$198.23
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 $211.70 / $230.13 / $230.13	Professional		$211.70	$230.13	$230.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $278.10 / $278.10	Facility		$230.13	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $298.13	Professional		$203.01	$203.01	$298.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.72 / $230.13 / $437.25	Professional		$211.72	$230.13	$437.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $467.19	Facility		$120.72	$120.72	$467.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $141.27 / $239.42	Professional		$118.89	$141.27	$239.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $475.20 / $577.90 / $577.90	Professional		$475.20	$577.90	$577.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $278.10 / $278.10	Facility		$230.13	$278.10	$278.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $301.11	Professional		$203.01	$203.01	$301.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $264.62 / $296.87	Facility		$264.62	$264.62	$296.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $261.56 / $264.62 / $296.87	Professional		$261.56	$264.62	$296.87
United Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $205.51 / $339.12	Professional		$138.08	$205.51	$339.12