Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.77 / $192.77 / $746.02	Facility		$192.77	$192.77	$746.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $204.11 / $265.52	Professional		$177.66	$204.11	$265.52
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 $328.70 / $431.68 / $431.68	Professional		$328.70	$431.68	$431.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $454.29	Facility		$279.26	$279.26	$454.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $397.79	Professional		$203.86	$203.86	$397.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.95 / $454.29 / $863.15	Professional		$417.95	$454.29	$863.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $192.77 / $192.77 / $746.02	Facility		$192.77	$192.77	$746.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $210.78 / $350.84	Professional		$177.78	$210.78	$350.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $619.60 / $895.00	Professional		$307.70	$619.60	$895.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $454.29	Facility		$279.26	$279.26	$454.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $500.63	Professional		$203.86	$203.86	$500.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $206.28 / $206.28 / $410.88	Facility		$206.28	$206.28	$410.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $410.88 / $432.40	Professional		$206.28	$410.88	$432.40
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $243.31 / $389.29	Professional		$202.72	$243.31	$389.29