Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.95 / $1,021.13 / $1,291.61	Professional		$934.95	$1,021.13	$1,291.61
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 $997.24 / $1,034.86 / $1,034.86	Professional		$997.24	$1,034.86	$1,034.86
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 $959.78 / $1,266.16 / $2,142.04	Professional		$959.78	$1,266.16	$2,142.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,233.42 / $2,233.42 / $2,233.42	Facility		$2,233.42	$2,233.42	$2,233.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.49 / $1,537.44 / $1,998.61	Professional		$1,200.49	$1,537.44	$1,998.61
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 $888.58 / $1,034.41 / $3,357.32	Professional		$888.58	$1,034.41	$3,357.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.50 / $1,226.50 / $1,226.50	Facility		$1,226.50	$1,226.50	$1,226.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,462.40 / $2,499.40	Professional		$15.00	$1,462.40	$2,499.40
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 $959.78 / $1,250.66 / $2,142.04	Professional		$959.78	$1,250.66	$2,142.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $976.22 / $976.22 / $1,064.03	Facility		$976.22	$976.22	$1,064.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $935.46 / $992.03 / $1,064.03	Professional		$935.46	$992.03	$1,064.03
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 $909.45 / $1,183.92 / $1,987.85	Professional		$909.45	$1,183.92	$1,987.85