Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.01 / $3,839.00 / $8,113.00	Facility		$1,020.01	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.66 / $1,023.93 / $1,324.26	Professional		$919.66	$1,023.93	$1,324.26
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 $1,035.76 / $1,074.83 / $1,074.83	Professional		$1,035.76	$1,074.83	$1,074.83
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 $877.49 / $1,272.26 / $2,201.00	Professional		$877.49	$1,272.26	$2,201.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,310.86 / $2,310.86 / $2,310.86	Facility		$2,310.86	$2,310.86	$2,310.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.68 / $1,621.79 / $2,072.16	Professional		$1,222.68	$1,621.79	$2,072.16
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 $919.66 / $1,082.45 / $3,487.37	Professional		$919.66	$1,082.45	$3,487.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $938.80 / $938.80 / $938.80	Facility		$938.80	$938.80	$938.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,235.40 / $2,607.60	Professional		$6.00	$1,235.40	$2,607.60
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 $879.12 / $1,270.27 / $2,201.00	Professional		$879.12	$1,270.27	$2,201.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $853.76 / $1,014.29 / $1,014.29	Facility		$853.76	$1,014.29	$1,014.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $853.76 / $1,014.29 / $1,068.53	Professional		$853.76	$1,014.29	$1,068.53
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 $877.49 / $1,187.19 / $2,038.21	Professional		$877.49	$1,187.19	$2,038.21