Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $181.33 / $14,477.99	Facility		$69.37	$181.33	$14,477.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.06 / $93.76	Professional		$69.37	$70.06	$93.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $73.86 / $8,459.92	Facility		$63.05	$73.86	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $70.65 / $70.65	Professional		$70.65	$70.65	$70.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $69.37	Facility		$63.71	$69.37	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $70.08	Professional		$69.37	$69.37	$70.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $73.26 / $102.90	Professional		$68.70	$73.26	$102.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $192.18 / $21,017.39	Facility		$78.27	$192.18	$21,017.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $78.27 / $190.63	Professional		$69.37	$78.27	$190.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $89.70 / $109.10	Professional		$27.40	$89.70	$109.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $69.37	Facility		$63.71	$69.37	$69.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $76.05	Professional		$69.37	$69.37	$76.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $42.24	Facility		$36.40	$36.40	$42.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $42.24	Professional		$36.40	$36.40	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $90.53	Professional		$69.37	$73.53	$90.53