Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $605.35	Facility		$156.41	$156.41	$605.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $165.62 / $244.49	Professional		$137.07	$165.62	$244.49
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 $266.70 / $350.26 / $350.26	Professional		$266.70	$350.26	$350.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $350.26	Facility		$243.19	$243.19	$350.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $306.70	Professional		$177.53	$177.53	$306.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $350.26 / $665.49	Professional		$322.24	$350.26	$665.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $605.35	Facility		$156.41	$156.41	$605.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $171.75 / $284.68	Professional		$137.07	$171.75	$284.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $477.70 / $690.10	Professional		$237.50	$477.70	$690.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $350.26	Facility		$243.19	$243.19	$350.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $435.75	Professional		$177.53	$177.53	$435.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $167.38 / $333.39	Facility		$167.38	$167.38	$333.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $333.39 / $340.06	Professional		$167.38	$333.39	$340.06
United Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $189.31 / $315.88	Professional		$163.83	$189.31	$315.88