Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $111.11	Facility		$28.71	$28.71	$111.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $32.97 / $50.16	Professional		$28.55	$32.97	$50.16
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 $53.11 / $69.75 / $69.75	Professional		$53.11	$69.75	$69.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $74.87	Facility		$43.58	$43.58	$74.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $65.56	Professional		$31.81	$31.81	$65.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $74.87 / $142.25	Professional		$68.88	$74.87	$142.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $111.11	Facility		$28.71	$28.71	$111.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $32.97 / $61.08	Professional		$28.55	$32.97	$61.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $102.10 / $147.50	Professional		$50.70	$102.10	$147.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $74.87	Facility		$43.58	$43.58	$74.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $84.38	Professional		$31.81	$31.81	$84.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $66.39 / $66.39	Facility		$49.88	$66.39	$66.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $66.39 / $71.27	Professional		$49.88	$66.39	$71.27
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $35.15 / $62.90	Professional		$27.25	$35.15	$62.90