Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $161.65	Facility		$41.77	$41.77	$161.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $48.88 / $55.55	Professional		$41.77	$48.88	$55.55
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 $77.29 / $101.50 / $101.50	Professional		$77.29	$101.50	$101.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.35	Facility		$61.81	$61.81	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $110.28	Professional		$45.12	$45.12	$110.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $125.94 / $239.29	Professional		$115.86	$125.94	$239.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $161.65	Facility		$41.77	$41.77	$161.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $48.88 / $81.20	Professional		$41.77	$48.88	$81.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $179.60 / $248.10	Professional		$156.19	$179.60	$248.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.35	Facility		$61.81	$61.81	$125.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $110.63	Professional		$45.12	$45.12	$110.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $48.51 / $96.61	Facility		$48.51	$48.51	$96.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $96.61 / $119.87	Professional		$48.51	$96.61	$119.87
United Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $51.15 / $91.55	Professional		$43.08	$51.15	$91.55