Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.29 / $3,839.00 / $8,113.00	Facility		$1,045.29	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.99 / $1,128.86 / $1,448.60	Professional		$1,030.99	$1,128.86	$1,448.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,208.48 / $1,208.48	Professional		$1,164.54	$1,208.48	$1,208.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.50 / $1,414.95 / $2,424.81	Professional		$969.50	$1,414.95	$2,424.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,613.42 / $2,613.42 / $2,613.42	Facility		$2,613.42	$2,613.42	$2,613.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.57 / $1,798.12 / $2,332.58	Professional		$1,406.57	$1,798.12	$2,332.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,025.31 / $1,185.70 / $3,035.92	Professional		$1,025.31	$1,185.70	$3,035.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $963.40 / $963.40 / $963.40	Facility		$963.40	$963.40	$963.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,260.20 / $2,922.60	Professional		$7.00	$1,260.20	$2,922.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $985.04 / $1,393.72 / $2,424.81	Professional		$985.04	$1,393.72	$2,424.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $889.27 / $1,138.26 / $1,138.26	Facility		$889.27	$1,138.26	$1,138.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $889.27 / $1,138.26 / $1,197.58	Professional		$889.27	$1,138.26	$1,197.58
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.48 / $1,329.22 / $2,241.17	Professional		$980.48	$1,329.22	$2,241.17