Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.22 / $4,761.00 / $8,451.00	Facility		$1,022.22	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $954.44 / $1,230.86	Professional		$868.61	$954.44	$1,230.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $960.21 / $996.45 / $996.45	Professional		$960.21	$996.45	$996.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $1,993.85 / $3,928.61	Facility		$739.00	$1,993.85	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.67 / $1,187.59 / $1,910.96	Professional		$799.67	$1,187.59	$1,910.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,161.01 / $2,161.01 / $2,161.01	Facility		$2,161.01	$2,161.01	$2,161.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.42 / $1,516.34 / $1,952.20	Professional		$1,148.42	$1,516.34	$1,952.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $1,030.58 / $5,041.00	Professional		$868.61	$1,030.58	$5,041.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $842.20 / $842.20 / $842.20	Facility		$842.20	$842.20	$842.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,132.80 / $2,465.69	Professional		$6.00	$1,132.80	$2,465.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $1,978.20 / $3,738.29	Facility		$739.00	$1,978.20	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $800.05 / $1,170.16 / $1,945.38	Professional		$800.05	$1,170.16	$1,945.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.80 / $942.17 / $942.17	Facility		$851.80	$942.17	$942.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.80 / $942.17 / $997.61	Professional		$851.80	$942.17	$997.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $844.99 / $1,123.27 / $1,883.17	Professional		$844.99	$1,123.27	$1,883.17