Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.07 / $2,747.00 / $8,113.00	Facility		$102.07	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $136.74 / $265.06	Professional		$97.56	$136.74	$265.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $165.41 / $280.77	Professional		$159.38	$165.41	$280.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $157.32 / $280.30	Professional		$102.97	$157.32	$280.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $247.08 / $255.59	Professional		$192.17	$247.08	$255.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $140.16 / $593.82	Professional		$98.00	$140.16	$593.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $197.50 / $208.80	Professional		$197.50	$197.50	$208.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $190.18 / $190.18	Facility		$190.18	$190.18	$190.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $157.88 / $284.12	Professional		$105.39	$157.88	$284.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $130.66 / $178.22	Facility		$109.17	$130.66	$178.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $150.71 / $164.95	Professional		$109.17	$150.71	$164.95
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $4,300.00	Facility		$435.00	$1,305.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $175.41 / $299.89	Professional		$139.27	$175.41	$299.89