Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.44 / $915.36 / $1,395.74	Professional		$843.44	$915.36	$1,395.74
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 $896.06 / $929.87 / $929.87	Professional		$896.06	$929.87	$929.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,025.00 / $8,073.00	Facility		$739.00	$3,025.00	$8,073.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.20 / $1,141.21 / $1,839.95	Professional		$757.20	$1,141.21	$1,839.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.44 / $2,031.44 / $2,031.44	Facility		$2,031.44	$2,031.44	$2,031.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.76 / $1,424.52 / $1,820.10	Professional		$1,073.76	$1,424.52	$1,820.10
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 $842.54 / $1,022.75 / $3,956.00	Professional		$842.54	$1,022.75	$3,956.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $875.90 / $875.90 / $875.90	Facility		$875.90	$875.90	$875.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,110.59 / $2,374.19	Professional		$6.00	$1,110.59	$2,374.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,760.00 / $7,820.94	Facility		$739.00	$2,760.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $757.20 / $1,136.80 / $1,860.04	Professional		$757.20	$1,136.80	$1,860.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $863.10 / $884.97 / $884.97	Facility		$863.10	$884.97	$884.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $863.10 / $884.97 / $943.89	Professional		$863.10	$884.97	$943.89
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 $747.84 / $1,011.91 / $1,647.82	Professional		$747.84	$1,011.91	$1,647.82