Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $30.84 / $119.35	Facility		$30.84	$30.84	$119.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $34.11 / $43.93	Professional		$28.56	$34.11	$43.93
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 $57.06 / $74.94 / $74.94	Professional		$57.06	$74.94	$74.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $72.97	Facility		$55.83	$55.83	$72.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $94.50	Professional		$40.76	$40.76	$94.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $72.97 / $138.63	Professional		$67.13	$72.97	$138.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $50.60 / $50.60	Professional		$50.60	$50.60	$50.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $30.84 / $119.35	Facility		$30.84	$30.84	$119.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $35.43 / $58.01	Professional		$27.84	$35.43	$58.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $30.20 / $143.80	Professional		$23.00	$30.20	$143.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $72.97	Facility		$55.83	$55.83	$72.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $94.50	Professional		$40.76	$40.76	$94.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $71.33 / $71.33	Facility		$53.58	$71.33	$71.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $71.33 / $77.48	Professional		$53.58	$71.33	$77.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $37.54 / $67.58	Professional		$27.38	$37.54	$67.58