Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $197.76	Facility		$51.10	$51.10	$197.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $56.53 / $71.98	Professional		$48.58	$56.53	$71.98
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 $94.54 / $124.16 / $124.16	Professional		$94.54	$124.16	$124.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $124.16	Facility		$70.98	$70.98	$124.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $108.72	Professional		$51.82	$51.82	$108.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $124.16 / $235.90	Professional		$114.23	$124.16	$235.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $197.76	Facility		$51.10	$51.10	$197.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $58.71 / $88.69	Professional		$48.58	$58.71	$88.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $177.00 / $244.60	Professional		$112.00	$177.00	$244.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $124.16	Facility		$70.98	$70.98	$124.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $147.38	Professional		$51.82	$51.82	$147.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $118.18 / $118.18	Facility		$88.76	$118.18	$118.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $118.18 / $121.02	Professional		$88.76	$118.18	$121.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $62.19 / $111.95	Professional		$47.50	$62.19	$111.95