Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $3,839.00 / $8,451.00	Facility		$88.10	$3,839.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $81.18 / $96.86	Professional		$71.98	$81.18	$96.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23,765.15 / $46,478.00 / $77,850.02	Facility		$23,765.15	$46,478.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $91.66 / $153.51	Professional		$77.91	$91.66	$153.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $45.84 / $1,167.88	Facility		$23.24	$45.84	$1,167.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $114.06 / $170.22	Professional		$78.42	$114.06	$170.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $187.84	Professional		$116.74	$116.74	$187.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $10,527.00	Facility		$832.00	$4,761.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $81.20 / $2,843.00	Professional		$71.98	$81.20	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $116.90 / $163.80	Professional		$116.90	$116.90	$163.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $41.01 / $1,167.88	Facility		$23.24	$41.01	$1,167.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $116.16 / $175.33	Professional		$84.43	$116.16	$175.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $81.23 / $116.95	Facility		$81.23	$81.23	$116.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $81.23 / $116.95	Professional		$75.36	$81.23	$116.95
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,832.00 / $37,549.00	Facility		$814.00	$2,832.00	$37,549.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $107.90 / $164.88	Professional		$83.33	$107.90	$164.88