Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $59.75 / $231.23	Facility		$59.75	$59.75	$231.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $68.64 / $83.39	Professional		$56.81	$68.64	$83.39
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 $110.54 / $145.16 / $145.16	Professional		$110.54	$145.16	$145.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $145.16	Facility		$100.43	$100.43	$145.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $127.12	Professional		$73.31	$73.31	$127.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $145.16 / $275.82	Professional		$133.56	$145.16	$275.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $59.75 / $231.23	Facility		$59.75	$59.75	$231.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $68.64 / $98.23	Professional		$56.81	$68.64	$98.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $198.00 / $286.00	Professional		$98.40	$198.00	$286.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $145.16	Facility		$100.43	$100.43	$145.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $180.00	Professional		$73.31	$73.31	$180.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $138.18 / $138.18	Facility		$103.80	$138.18	$138.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $138.18 / $147.78	Professional		$103.80	$138.18	$147.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $73.15 / $130.91	Professional		$55.81	$73.15	$130.91