Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $102.05	Facility		$26.37	$26.37	$102.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $29.17 / $35.42	Professional		$21.15	$29.17	$35.42
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 $48.78 / $64.06 / $64.06	Professional		$48.78	$64.06	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $54.04	Facility		$30.91	$30.91	$54.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $47.31	Professional		$22.56	$22.56	$47.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $54.04 / $102.68	Professional		$49.72	$54.04	$102.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $102.05	Facility		$26.37	$26.37	$102.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $30.10 / $37.65	Professional		$20.49	$30.10	$37.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $73.70 / $106.40	Professional		$36.60	$73.70	$106.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $54.04	Facility		$30.91	$30.91	$54.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $76.50	Professional		$22.56	$22.56	$76.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $60.98 / $60.98	Facility		$45.80	$60.98	$60.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $60.98 / $62.77	Professional		$45.80	$60.98	$62.77
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $31.96 / $53.27	Professional		$21.31	$31.96	$53.27