Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $71.40 / $187.55	Facility		$70.70	$71.40	$187.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Professional		$70.70	$70.70	$71.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $70.70 / $8,639.91	Facility		$60.36	$70.70	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $75.67	Professional		$70.70	$70.70	$75.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $70.70 / $90.30	Professional		$60.10	$70.70	$90.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $71.75 / $187.55	Facility		$70.70	$71.75	$187.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.75	Professional		$70.70	$70.70	$71.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $599.90 / $599.90 / $599.90	Professional		$599.90	$599.90	$599.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $70.70 / $70.70	Facility		$66.69	$70.70	$70.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $80.03	Professional		$70.70	$70.70	$80.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $178.34 / $178.34 / $206.95	Facility		$178.34	$178.34	$206.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $178.34 / $206.95	Professional		$178.34	$178.34	$206.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $106.05	Professional		$70.70	$70.70	$106.05