Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.73 / $3,839.00 / $8,113.00	Facility		$1,189.73	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.75 / $1,189.73 / $1,541.90	Professional		$1,025.75	$1,189.73	$1,541.90
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 $1,193.80 / $1,238.84 / $1,238.84	Professional		$1,193.80	$1,238.84	$1,238.84
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 $1,016.90 / $1,437.15 / $2,461.42	Professional		$1,016.90	$1,437.15	$2,461.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,682.50 / $2,682.50 / $2,682.50	Facility		$2,682.50	$2,682.50	$2,682.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.96 / $1,848.65 / $2,393.90	Professional		$1,442.96	$1,848.65	$2,393.90
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 $996.33 / $1,237.32 / $4,031.12	Professional		$996.33	$1,237.32	$4,031.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.70 / $1,071.70 / $1,071.70	Facility		$1,071.70	$1,071.70	$1,071.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,444.80 / $3,003.80	Professional		$7.00	$1,444.80	$3,003.80
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 $1,019.63 / $1,437.14 / $2,461.42	Professional		$1,019.63	$1,437.14	$2,461.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $1,166.10 / $1,166.10	Facility		$938.60	$1,166.10	$1,166.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $938.60 / $1,166.10 / $1,228.22	Professional		$938.60	$1,166.10	$1,228.22
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 $1,015.13 / $1,352.56 / $2,309.06	Professional		$1,015.13	$1,352.56	$2,309.06