Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,304.00 / $8,240.00	Facility		$926.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.75 / $842.99 / $1,046.31	Professional		$763.75	$842.99	$1,046.31
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 $811.84 / $842.48 / $1,316.26	Professional		$811.84	$842.48	$1,316.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,656.00 / $8,051.32	Facility		$649.00	$2,656.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.04 / $1,034.32 / $1,649.75	Professional		$704.04	$1,034.32	$1,649.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.66 / $1,820.66 / $1,820.66	Facility		$1,820.66	$1,820.66	$1,820.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $963.11 / $1,277.66 / $1,632.46	Professional		$963.11	$1,277.66	$1,632.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $759.94 / $885.91 / $4,348.68	Professional		$759.94	$885.91	$4,348.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $900.90 / $900.90 / $900.90	Facility		$900.90	$900.90	$900.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,075.40 / $2,103.10	Professional		$5.00	$1,075.40	$2,103.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,109.00 / $7,661.29	Facility		$649.00	$2,109.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $704.51 / $1,033.96 / $1,792.58	Professional		$704.51	$1,033.96	$1,792.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $803.58 / $803.58 / $830.00	Facility		$803.58	$803.58	$830.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $804.50 / $850.17	Professional		$781.95	$804.50	$850.17
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 $721.23 / $953.17 / $1,736.53	Professional		$721.23	$953.17	$1,736.53