Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $7,799.00	Facility		$594.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $79.39 / $113.07	Professional		$69.03	$79.39	$113.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $83.40 / $128.16	Professional		$80.37	$83.40	$128.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $126.08 / $235.00	Professional		$88.16	$126.08	$235.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $122.40 / $123.84	Professional		$92.76	$122.40	$123.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $104.79 / $1,023.00	Professional		$73.11	$104.79	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $146.40 / $235.20	Professional		$5.00	$146.40	$235.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $126.08 / $240.04	Professional		$88.16	$126.08	$240.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $78.25 / $122.03	Facility		$78.25	$78.25	$122.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $78.36 / $122.03	Professional		$76.16	$78.36	$122.03
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $121.36 / $174.93	Professional		$86.07	$121.36	$174.93