Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $216.72	Facility		$56.00	$56.00	$216.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $61.95 / $70.29	Professional		$50.27	$61.95	$70.29
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 $103.61 / $136.07 / $136.07	Professional		$103.61	$136.07	$136.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $128.46	Facility		$75.81	$75.81	$128.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $112.48	Professional		$55.35	$55.35	$112.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $128.46 / $244.07	Professional		$118.18	$128.46	$244.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $216.72	Facility		$56.00	$56.00	$216.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $62.95 / $82.25	Professional		$50.27	$62.95	$82.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $183.20 / $253.10	Professional		$86.90	$183.20	$253.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $128.46	Facility		$75.81	$75.81	$128.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $135.75	Professional		$55.35	$55.35	$135.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $129.51 / $129.51	Facility		$97.28	$129.51	$129.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $129.51 / $129.51	Professional		$97.28	$129.51	$129.51
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $67.88 / $117.20	Professional		$49.02	$67.88	$117.20