Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $3,839.00 / $8,113.00	Facility		$1,016.69	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.68 / $948.41 / $1,228.21	Professional		$848.68	$948.41	$1,228.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $953.33 / $989.31 / $1,523.51	Professional		$953.33	$989.31	$1,523.51
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 $809.22 / $1,156.31 / $1,934.86	Professional		$809.22	$1,156.31	$1,934.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.36 / $2,145.36 / $2,145.36	Facility		$2,145.36	$2,145.36	$2,145.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.07 / $1,481.70 / $1,914.66	Professional		$1,153.07	$1,481.70	$1,914.66
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 $842.05 / $1,005.91 / $3,223.61	Professional		$842.05	$1,005.91	$3,223.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $796.00 / $796.00	Facility		$796.00	$796.00	$796.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,054.00 / $2,404.10	Professional		$7.00	$1,054.00	$2,404.10
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 $814.17 / $1,144.93 / $1,934.86	Professional		$814.17	$1,144.93	$1,934.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $782.45 / $930.10 / $930.10	Facility		$782.45	$930.10	$930.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $782.45 / $930.10 / $980.92	Professional		$782.45	$930.10	$980.92
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.84 / $1,079.73 / $1,842.72	Professional		$810.84	$1,079.73	$1,842.72