Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $754.57	Facility		$194.98	$194.98	$754.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $206.45 / $266.02	Professional		$170.86	$206.45	$266.02
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 $332.46 / $436.60 / $436.60	Professional		$332.46	$436.60	$436.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $436.60	Facility		$318.35	$318.35	$436.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $382.31	Professional		$232.40	$232.40	$382.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $436.60 / $829.54	Professional		$401.67	$436.60	$829.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $754.57	Facility		$194.98	$194.98	$754.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $206.45 / $300.83	Professional		$170.86	$206.45	$300.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.29 / $622.50 / $860.20	Professional		$541.29	$622.50	$860.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $436.60	Facility		$318.35	$318.35	$436.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $518.63	Professional		$232.40	$232.40	$518.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $415.57 / $415.57	Facility		$312.14	$415.57	$415.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $415.57 / $425.77	Professional		$312.14	$415.57	$425.77
United Facility/Professional Professional Modifier Low / Median / High Price $196.86 / $235.97 / $393.72	Professional		$196.86	$235.97	$393.72