Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $147.35 / $570.25	Facility		$147.35	$147.35	$570.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $163.83 / $210.27	Professional		$140.11	$163.83	$210.27
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 $272.62 / $358.03 / $358.03	Professional		$272.62	$358.03	$358.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $358.03	Facility		$227.07	$227.07	$358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $313.50	Professional		$165.76	$165.76	$313.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.39 / $358.03 / $680.26	Professional		$329.39	$358.03	$680.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $147.35 / $570.25	Facility		$147.35	$147.35	$570.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $169.29 / $235.14	Professional		$140.11	$169.29	$235.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $488.30 / $705.40	Professional		$242.40	$488.30	$705.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $358.03	Facility		$227.07	$227.07	$358.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $453.75	Professional		$165.76	$165.76	$453.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $171.08 / $171.08 / $340.78	Facility		$171.08	$171.08	$340.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $340.78 / $347.60	Professional		$171.08	$340.78	$347.60
United Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $180.41 / $312.82	Professional		$149.71	$180.41	$312.82