Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $149.11	Facility		$38.53	$38.53	$149.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $40.19 / $49.72	Professional		$30.52	$40.19	$49.72
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 $65.70 / $86.28 / $86.28	Professional		$65.70	$86.28	$86.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $77.98	Facility		$48.73	$48.73	$77.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $68.28	Professional		$35.57	$35.57	$68.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $77.98 / $148.16	Professional		$71.73	$77.98	$148.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $149.11	Facility		$38.53	$38.53	$149.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $40.79 / $58.13	Professional		$30.52	$40.79	$58.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $106.40 / $153.60	Professional		$52.80	$106.40	$153.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $77.98	Facility		$48.73	$48.73	$77.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $90.38	Professional		$35.57	$35.57	$90.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $59.66 / $82.12	Facility		$59.66	$59.66	$82.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $74.22 / $82.12	Professional		$59.66	$74.22	$82.12
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.77 / $72.09	Professional		$38.90	$51.77	$72.09