Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $2,240.00 / $7,629.00	Facility		$88.60	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $84.44 / $111.43	Professional		$76.80	$84.44	$111.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $101.18 / $182.73	Professional		$97.50	$101.18	$182.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $101.81 / $179.25	Professional		$80.66	$101.81	$179.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $149.58 / $154.90	Professional		$116.34	$149.58	$154.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $89.37 / $1,023.00	Professional		$77.86	$89.37	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $95.70 / $95.70	Professional		$95.70	$95.70	$95.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $102.48 / $193.87	Professional		$81.33	$102.48	$193.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.26 / $93.40 / $102.92	Facility		$87.26	$93.40	$102.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $93.40 / $100.07	Professional		$87.26	$93.40	$100.07
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $632.00 / $3,742.00	Facility		$162.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $108.38 / $191.62	Professional		$85.78	$108.38	$191.62