Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $83.16 / $321.83	Facility		$83.16	$83.16	$321.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $95.54 / $132.19	Professional		$78.93	$95.54	$132.19
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 $153.86 / $202.06 / $202.06	Professional		$153.86	$202.06	$202.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $201.70	Facility		$136.19	$136.19	$201.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $176.61	Professional		$99.43	$99.43	$176.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $201.70 / $383.23	Professional		$185.56	$201.70	$383.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $83.16 / $321.83	Facility		$83.16	$83.16	$321.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $95.54 / $168.05	Professional		$78.93	$95.54	$168.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $275.10 / $397.40	Professional		$136.50	$275.10	$397.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $201.70	Facility		$136.19	$136.19	$201.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $244.13	Professional		$99.43	$99.43	$244.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $192.32 / $192.32	Facility		$144.46	$192.32	$192.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $192.32 / $200.41	Professional		$144.46	$192.32	$200.41
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $101.22 / $168.00	Professional		$85.28	$101.22	$168.00