Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.56 / $3,839.00 / $8,113.00	Facility		$113.56	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $108.32 / $138.43	Professional		$98.16	$108.32	$138.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $109.92 / $179.34	Professional		$105.93	$109.92	$179.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $560.00 / $2,151.00	Facility		$120.98	$560.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $134.90 / $227.16	Professional		$99.93	$134.90	$227.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $236.50 / $236.50 / $236.50	Facility		$236.50	$236.50	$236.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $161.65 / $211.18	Professional		$127.56	$161.65	$211.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $115.81 / $666.00	Professional		$98.40	$115.81	$666.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Facility		$125.40	$125.40	$125.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $150.60 / $264.80	Professional		$125.40	$150.60	$264.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $560.00 / $2,151.00	Facility		$120.98	$560.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $134.90 / $227.16	Professional		$100.98	$134.90	$227.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.69 / $104.20 / $104.20	Facility		$98.69	$104.20	$104.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $104.20 / $109.18	Professional		$98.69	$104.20	$109.18
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $126.59 / $209.30	Professional		$96.12	$126.59	$209.30