Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $156.35	Facility		$40.40	$40.40	$156.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $47.27 / $101.71	Professional		$33.72	$47.27	$101.71
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 $74.73 / $98.16 / $98.16	Professional		$74.73	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $86.18	Facility		$53.85	$53.85	$86.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $75.45	Professional		$39.31	$39.31	$75.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $86.18 / $163.74	Professional		$79.29	$86.18	$163.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $156.35	Facility		$40.40	$40.40	$156.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $53.96 / $101.71	Professional		$40.17	$53.96	$101.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $109.88 / $169.80	Professional		$43.80	$109.88	$169.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $86.18	Facility		$53.85	$53.85	$86.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $116.25	Professional		$39.31	$39.31	$116.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $93.43 / $93.43	Facility		$71.45	$93.43	$93.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $93.43 / $95.33	Professional		$71.45	$93.43	$95.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $50.16 / $92.20	Professional		$37.10	$50.16	$92.20