Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $92.84	Facility		$23.99	$23.99	$92.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $26.54 / $32.26	Professional		$22.82	$26.54	$32.26
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 $44.38 / $58.29 / $58.29	Professional		$44.38	$58.29	$58.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $58.29	Facility		$33.35	$33.35	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $69.38	Professional		$24.35	$24.35	$69.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $58.29 / $110.75	Professional		$53.63	$58.29	$110.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $92.84	Facility		$23.99	$23.99	$92.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $27.56 / $37.92	Professional		$22.82	$27.56	$37.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $83.10 / $114.80	Professional		$55.20	$83.10	$114.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $58.29	Facility		$33.35	$33.35	$58.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $70.06	Professional		$24.35	$24.35	$70.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $55.48 / $55.48	Facility		$41.68	$55.48	$55.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $55.48 / $56.88	Professional		$41.68	$55.48	$56.88
United Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $71.17 / $85.40	Facility		$60.49	$71.17	$85.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $29.08 / $52.57	Professional		$22.77	$29.08	$52.57