Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $116.72	Facility		$30.16	$30.16	$116.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.36 / $40.53	Professional		$28.68	$33.36	$40.53
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 $55.79 / $73.27 / $73.27	Professional		$55.79	$73.27	$73.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $73.27	Facility		$41.91	$41.91	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $64.16	Professional		$30.59	$30.59	$64.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $73.27 / $139.21	Professional		$67.41	$73.27	$139.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $116.72	Facility		$30.16	$30.16	$116.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $34.65 / $47.64	Professional		$28.68	$34.65	$47.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $104.50 / $144.40	Professional		$90.80	$104.50	$144.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $73.27	Facility		$41.91	$41.91	$73.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $87.00	Professional		$30.59	$30.59	$87.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $69.73 / $69.73	Facility		$52.39	$69.73	$69.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $69.73 / $71.45	Professional		$52.39	$69.73	$71.45
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $36.56 / $60.93	Professional		$28.04	$36.56	$60.93