Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $349.77	Facility		$90.38	$90.38	$349.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $96.28 / $136.87	Professional		$88.61	$96.28	$136.87
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 $154.10 / $202.38 / $202.38	Professional		$154.10	$202.38	$202.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $246.02	Facility		$170.89	$170.89	$246.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $215.42	Professional		$124.75	$124.75	$215.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $246.02 / $467.44	Professional		$226.34	$246.02	$467.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $349.77	Facility		$90.38	$90.38	$349.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $99.24 / $155.10	Professional		$88.61	$99.24	$155.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $335.50 / $484.70	Professional		$166.50	$335.50	$484.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $246.02	Facility		$170.89	$170.89	$246.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $306.38	Professional		$124.75	$124.75	$306.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $96.71 / $192.63	Facility		$96.71	$96.71	$192.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $192.63 / $234.16	Professional		$96.71	$192.63	$234.16
United Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $121.43 / $182.51	Professional		$95.04	$121.43	$182.51