Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $174.85 / $676.67	Facility		$174.85	$174.85	$676.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $200.89 / $246.28	Professional		$164.72	$200.89	$246.28
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 $323.51 / $424.86 / $424.86	Professional		$323.51	$424.86	$424.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $420.91	Facility		$295.70	$295.70	$420.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $368.56	Professional		$215.87	$215.87	$368.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.24 / $420.91 / $799.73	Professional		$387.24	$420.91	$799.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $174.85 / $676.67	Facility		$174.85	$174.85	$676.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $200.89 / $289.32	Professional		$164.72	$200.89	$289.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $184.80 / $829.30	Professional		$140.60	$184.80	$829.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $420.91	Facility		$295.70	$295.70	$420.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $529.88	Professional		$215.87	$215.87	$529.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $303.77 / $404.39 / $404.39	Facility		$303.77	$404.39	$404.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $404.39 / $435.10	Professional		$303.77	$404.39	$435.10
United Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $208.12 / $242.69	Facility		$161.79	$208.12	$242.69
United Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $214.29 / $371.21	Professional		$173.97	$214.29	$371.21