Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $45.28 / $175.23	Facility		$45.28	$45.28	$175.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $47.95 / $60.75	Professional		$37.71	$47.95	$60.75
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 $77.20 / $101.40 / $101.40	Professional		$77.20	$101.40	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $96.35	Facility		$60.21	$60.21	$96.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $84.37	Professional		$43.95	$43.95	$84.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $96.35 / $183.07	Professional		$88.64	$96.35	$183.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $45.28 / $175.23	Facility		$45.28	$45.28	$175.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $47.95 / $82.41	Professional		$37.71	$47.95	$82.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $131.40 / $189.80	Professional		$65.30	$131.40	$189.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $96.35	Facility		$60.21	$60.21	$96.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $130.13	Professional		$43.95	$43.95	$130.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $48.45 / $96.51	Facility		$48.45	$48.45	$96.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $96.51 / $98.44	Professional		$48.45	$96.51	$98.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $57.18 / $88.59	Professional		$46.57	$57.18	$88.59