Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $99.85	Facility		$25.80	$25.80	$99.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.32 / $35.17	Professional		$23.21	$27.32	$35.17
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 $43.99 / $57.77 / $57.77	Professional		$43.99	$57.77	$57.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $59.32	Facility		$37.36	$37.36	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $51.94	Professional		$27.27	$27.27	$51.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $59.32 / $112.71	Professional		$54.57	$59.32	$112.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $25.80 / $99.85	Facility		$25.80	$25.80	$99.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.32 / $46.96	Professional		$23.21	$27.32	$46.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $80.90 / $116.90	Professional		$40.10	$80.90	$116.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $59.32	Facility		$37.36	$37.36	$59.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $67.13	Professional		$27.27	$27.27	$67.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $54.99	Facility		$27.60	$27.60	$54.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $54.99 / $56.46	Professional		$27.60	$54.99	$56.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.65 / $50.47	Professional		$27.02	$34.65	$50.47