Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.10 / $222.10 / $859.53	Facility		$222.10	$222.10	$859.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $235.16 / $277.86	Professional		$172.47	$235.16	$277.86
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 $378.70 / $497.35 / $497.35	Professional		$378.70	$497.35	$497.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $440.72	Facility		$315.70	$315.70	$440.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $385.91	Professional		$230.47	$230.47	$385.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.46 / $440.72 / $837.37	Professional		$405.46	$440.72	$837.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $222.10 / $222.10 / $859.53	Facility		$222.10	$222.10	$859.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $235.16 / $330.87	Professional		$172.47	$235.16	$330.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.50 / $601.10 / $868.30	Professional		$298.50	$601.10	$868.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $440.72	Facility		$315.70	$315.70	$440.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $565.88	Professional		$230.47	$230.47	$565.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.65 / $237.65 / $473.38	Facility		$237.65	$237.65	$473.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.65 / $464.52 / $473.38	Professional		$237.65	$464.52	$473.38
United Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $280.32 / $434.54	Professional		$219.87	$280.32	$434.54