Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.54 / $3,839.00 / $8,113.00	Facility		$1,085.54	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,091.11 / $1,406.32	Professional		$1,016.31	$1,091.11	$1,406.32
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 $1,095.28 / $1,136.60 / $1,136.60	Professional		$1,095.28	$1,136.60	$1,136.60
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 $941.61 / $1,381.90 / $2,335.13	Professional		$941.61	$1,381.90	$2,335.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,437.46 / $2,437.46 / $2,437.46	Facility		$2,437.46	$2,437.46	$2,437.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.96 / $1,707.30 / $2,186.17	Professional		$1,289.96	$1,707.30	$2,186.17
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 $1,012.60 / $1,149.73 / $3,698.17	Professional		$1,012.60	$1,149.73	$3,698.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.50 / $1,429.50 / $1,429.50	Facility		$1,429.50	$1,429.50	$1,429.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,710.80 / $2,762.60	Professional		$6.00	$1,710.80	$2,762.60
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 $951.07 / $1,343.27 / $2,335.13	Professional		$951.07	$1,343.27	$2,335.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,076.09 / $1,076.09 / $1,336.55	Facility		$1,076.09	$1,076.09	$1,336.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,043.59 / $1,081.07 / $1,336.55	Professional		$1,043.59	$1,081.07	$1,336.55
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 $950.58 / $1,266.11 / $2,145.06	Professional		$950.58	$1,266.11	$2,145.06