Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.50 / $2,747.00 / $8,017.00	Facility		$1,042.50	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.77 / $1,021.13 / $1,619.94	Professional		$906.77	$1,021.13	$1,619.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,004.56 / $1,449.29 / $2,188.77	Professional		$1,004.56	$1,449.29	$2,188.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.87 / $1,275.72 / $2,057.65	Professional		$971.87	$1,275.72	$2,057.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.66 / $1,596.77 / $2,039.33	Professional		$1,180.66	$1,596.77	$2,039.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $909.86 / $1,118.00 / $3,096.22	Professional		$909.86	$1,118.00	$3,096.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $957.70 / $957.70 / $2,122.50	Professional		$957.70	$957.70	$2,122.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $971.87 / $1,279.39 / $2,140.17	Professional		$971.87	$1,279.39	$2,140.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $986.25 / $1,038.25	Facility		$986.25	$986.25	$1,038.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.45 / $992.70 / $1,041.58	Professional		$954.45	$992.70	$1,041.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.93 / $1,224.79 / $1,978.10	Professional		$973.93	$1,224.79	$1,978.10