Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.95 / $123.95 / $479.69	Facility		$123.95	$123.95	$479.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $142.41 / $188.19	Professional		$117.86	$142.41	$188.19
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 $229.33 / $301.17 / $301.17	Professional		$229.33	$301.17	$301.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $301.17	Facility		$188.19	$188.19	$301.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $263.72	Professional		$137.38	$137.38	$263.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $301.17 / $572.22	Professional		$277.08	$301.17	$572.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.95 / $123.95 / $479.69	Facility		$123.95	$123.95	$479.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $142.41 / $229.33	Professional		$117.86	$142.41	$229.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $410.70 / $593.40	Professional		$204.00	$410.70	$593.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $301.17	Facility		$188.19	$188.19	$301.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $349.13	Professional		$137.38	$137.38	$349.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $143.91 / $286.66	Facility		$143.91	$143.91	$286.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $286.66 / $286.66	Professional		$143.91	$286.66	$286.66
United Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $150.49 / $271.60	Professional		$124.48	$150.49	$271.60