Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $3,839.00 / $8,247.00	Facility		$80.01	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $75.06 / $101.89	Professional		$65.90	$75.06	$101.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $69.93 / $104.33	Professional		$67.38	$69.93	$104.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $87.63 / $144.60	Professional		$66.75	$87.63	$144.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $100.48 / $102.75	Professional		$100.48	$100.48	$102.75
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 $69.65 / $81.73 / $398.60	Professional		$69.65	$81.73	$398.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $110.50 / $169.60	Professional		$85.60	$110.50	$169.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $87.63 / $145.72	Professional		$68.59	$87.63	$145.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $85.06	Facility		$66.64	$66.64	$85.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $66.81 / $85.06	Professional		$64.79	$66.81	$85.06
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $87.35 / $142.29	Professional		$64.63	$87.35	$142.29