Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $162.91 / $292.60	Professional		$109.85	$162.91	$292.60
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 $148.84 / $175.11 / $287.07	Professional		$148.84	$175.11	$287.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $235.18 / $888.71	Professional		$213.99	$235.18	$888.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $256.30 / $298.00	Professional		$139.06	$256.30	$298.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $176.39 / $1,544.00	Professional		$109.85	$176.39	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $187.50 / $199.50	Professional		$187.50	$187.50	$199.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $235.18 / $888.71	Professional		$213.99	$235.18	$888.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $103.64 / $181.33	Facility		$94.13	$103.64	$181.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $176.49 / $189.64	Professional		$94.13	$176.49	$189.64
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $211.03 / $316.33	Professional		$159.19	$211.03	$316.33