Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.42 / $3,839.00 / $8,113.00	Facility		$1,053.42	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.22 / $1,067.20 / $1,368.87	Professional		$990.22	$1,067.20	$1,368.87
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 $1,059.47 / $1,099.45 / $1,695.79	Professional		$1,059.47	$1,099.45	$1,695.79
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 $923.15 / $1,306.42 / $2,246.55	Professional		$923.15	$1,306.42	$2,246.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,375.27 / $2,375.27 / $2,375.27	Facility		$2,375.27	$2,375.27	$2,375.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.34 / $1,636.89 / $2,124.92	Professional		$1,276.34	$1,636.89	$2,124.92
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 $945.03 / $1,121.84 / $3,561.94	Professional		$945.03	$1,121.84	$3,561.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.60 / $1,019.60 / $1,019.60	Facility		$1,019.60	$1,019.60	$1,019.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,338.10 / $2,653.00	Professional		$6.00	$1,338.10	$2,653.00
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 $925.38 / $1,299.34 / $2,246.55	Professional		$925.38	$1,299.34	$2,246.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $931.83 / $1,035.28 / $1,035.28	Facility		$931.83	$1,035.28	$1,035.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $931.83 / $1,035.28 / $1,089.01	Professional		$931.83	$1,035.28	$1,089.01
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 $942.87 / $1,216.39 / $2,050.46	Professional		$942.87	$1,216.39	$2,050.46