Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $2,747.00 / $8,017.00	Facility		$1,028.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.17 / $1,014.43 / $1,307.68	Professional		$915.17	$1,014.43	$1,307.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,017.93 / $1,056.33 / $1,056.33	Professional		$1,017.93	$1,056.33	$1,056.33
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 $870.48 / $1,240.63 / $2,124.87	Professional		$870.48	$1,240.63	$2,124.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,265.59 / $2,265.59 / $2,265.59	Facility		$2,265.59	$2,265.59	$2,265.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.89 / $1,587.23 / $2,031.73	Professional		$1,198.89	$1,587.23	$2,031.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,120.00 / $8,017.00	Facility		$1,013.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $844.87 / $1,068.08 / $3,435.93	Professional		$844.87	$1,068.08	$3,435.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $913.10 / $913.10 / $913.10	Facility		$913.10	$913.10	$913.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,107.09 / $2,566.80	Professional		$6.00	$1,107.09	$2,566.80
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 $875.29 / $1,240.63 / $2,124.87	Professional		$875.29	$1,240.63	$2,124.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $906.46 / $1,000.53 / $1,000.53	Facility		$906.46	$1,000.53	$1,000.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $906.46 / $1,000.53 / $1,052.31	Professional		$906.46	$1,000.53	$1,052.31
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $3,399.00 / $10,329.04	Facility		$933.00	$3,399.00	$10,329.04
United Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $1,177.72 / $2,021.94	Professional		$852.66	$1,177.72	$2,021.94