Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $455.38	Facility		$117.67	$117.67	$455.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $124.59 / $153.68	Professional		$95.39	$124.59	$153.68
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 $200.63 / $263.49 / $263.49	Professional		$200.63	$263.49	$263.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $243.76	Facility		$184.91	$184.91	$243.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $213.44	Professional		$134.97	$134.97	$213.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $243.76 / $463.14	Professional		$224.26	$243.76	$463.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $455.38	Facility		$117.67	$117.67	$455.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $124.59 / $214.16	Professional		$95.39	$124.59	$214.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $332.50 / $480.20	Professional		$165.00	$332.50	$480.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $243.76	Facility		$184.91	$184.91	$243.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $304.13	Professional		$134.97	$134.97	$304.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $125.91 / $250.79	Facility		$125.91	$125.91	$250.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $249.59 / $250.79	Professional		$125.91	$249.59	$250.79
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $144.65 / $225.54	Professional		$118.81	$144.65	$225.54