Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $2,240.00 / $7,629.00	Facility		$87.66	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $83.58 / $110.26	Professional		$73.56	$83.58	$110.26
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 $96.23 / $99.86 / $180.90	Professional		$96.23	$99.86	$180.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $98.83 / $178.74	Professional		$80.20	$98.83	$178.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $147.54 / $152.79	Professional		$114.75	$147.54	$152.79
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 / $87.66 / $1,023.00	Professional		$77.86	$87.66	$1,023.00
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 $81.98 / $100.95 / $186.12	Professional		$81.98	$100.95	$186.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.26 / $89.30 / $95.79	Facility		$87.26	$89.30	$95.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $91.71 / $98.68	Professional		$87.26	$91.71	$98.68
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $106.12 / $186.01	Professional		$80.67	$106.12	$186.01