Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $141.93 / $5,574.40	Facility		$51.00	$141.93	$5,574.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.51	Professional		$51.00	$51.00	$51.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $51.00 / $8,639.91	Facility		$43.54	$51.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $52.93	Professional		$51.00	$51.00	$52.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $69.06	Professional		$51.00	$51.00	$69.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $91.77 / $5,574.40	Facility		$51.00	$91.77	$5,574.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $64.62	Professional		$51.00	$51.00	$64.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $31.40 / $36.29	Professional		$29.90	$31.40	$36.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $51.00 / $51.00	Facility		$48.12	$51.00	$51.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $57.74	Professional		$51.00	$51.00	$57.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $47.40 / $55.01	Facility		$47.40	$47.40	$55.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $47.40 / $55.01	Professional		$47.40	$47.40	$55.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $87.90	Professional		$51.00	$51.00	$87.90