Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.42 / $118.42 / $458.29	Facility		$118.42	$118.42	$458.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $136.05 / $206.06	Professional		$112.60	$136.05	$206.06
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 $219.10 / $287.73 / $287.73	Professional		$219.10	$287.73	$287.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $287.73	Facility		$225.30	$225.30	$287.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $251.95	Professional		$164.47	$164.47	$251.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $287.73 / $546.69	Professional		$264.70	$287.73	$546.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $118.42 / $118.42 / $458.29	Facility		$118.42	$118.42	$458.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $136.05 / $231.18	Professional		$112.60	$136.05	$231.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $392.40 / $566.90	Professional		$194.80	$392.40	$566.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $287.73	Facility		$225.30	$225.30	$287.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $444.75	Professional		$164.47	$164.47	$444.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $205.72 / $273.87 / $273.87	Facility		$205.72	$273.87	$273.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $273.87 / $365.15	Professional		$205.72	$273.87	$365.15
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $383.64 / $460.37	Facility		$326.08	$383.64	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $148.33 / $259.48	Professional		$120.31	$148.33	$259.48