Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $300.39	Facility		$77.62	$77.62	$300.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $86.34 / $107.18	Professional		$77.03	$86.34	$107.18
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 $143.62 / $188.61 / $188.61	Professional		$143.62	$188.61	$188.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $220.63	Facility		$110.16	$110.16	$220.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $193.19	Professional		$80.42	$80.42	$193.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $220.63 / $419.20	Professional		$202.98	$220.63	$419.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $300.39	Facility		$77.62	$77.62	$300.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $89.18 / $139.10	Professional		$75.11	$89.18	$139.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $300.89 / $434.70	Professional		$149.40	$300.89	$434.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $220.63	Facility		$110.16	$110.16	$220.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $204.38	Professional		$80.42	$80.42	$204.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $179.52 / $179.52	Facility		$134.87	$179.52	$179.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $179.52 / $210.00	Professional		$134.87	$179.52	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $94.50 / $164.80	Professional		$72.87	$94.50	$164.80