Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.86 / $204.86 / $792.81	Facility		$204.86	$204.86	$792.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $216.91 / $279.51	Professional		$179.52	$216.91	$279.51
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 $349.30 / $458.73 / $458.73	Professional		$349.30	$458.73	$458.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $458.73	Facility		$294.27	$294.27	$458.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $401.68	Professional		$214.82	$214.82	$401.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $422.03 / $458.73 / $871.59	Professional		$422.03	$458.73	$871.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.86 / $204.86 / $792.81	Facility		$204.86	$204.86	$792.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $216.91 / $316.06	Professional		$179.52	$216.91	$316.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $654.10 / $903.80	Professional		$568.79	$654.10	$903.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $458.73	Facility		$294.27	$294.27	$458.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $544.88	Professional		$214.82	$214.82	$544.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $436.63 / $436.63 / $436.63	Facility		$436.63	$436.63	$436.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.63 / $436.63 / $447.37	Professional		$436.63	$436.63	$447.37
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $276.79 / $315.60	Facility		$161.38	$276.79	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $255.56 / $400.81	Professional		$209.46	$255.56	$400.81