Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $2,070.00 / $7,629.00	Facility		$94.13	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $96.64 / $125.38	Professional		$72.45	$96.64	$125.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $110.01 / $110.01	Professional		$106.01	$110.01	$110.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $111.79 / $187.85	Professional		$78.11	$111.79	$187.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $161.97 / $217.52	Professional		$125.18	$161.97	$217.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $99.23 / $417.47	Professional		$74.02	$99.23	$417.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $93.20 / $217.00	Professional		$27.40	$93.20	$217.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $135.94 / $135.94	Facility		$95.38	$135.94	$135.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $111.04 / $192.66	Professional		$79.19	$111.04	$192.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $93.49 / $112.21	Facility		$77.19	$93.49	$112.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $100.40 / $109.22	Professional		$77.19	$100.40	$109.22
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $115.25 / $197.39	Professional		$84.03	$115.25	$197.39