Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.45 / $3,839.00 / $8,113.00	Facility		$1,203.45	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.35 / $1,203.45 / $1,559.37	Professional		$1,064.35	$1,203.45	$1,559.37
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 $1,207.14 / $1,252.69 / $1,931.64	Professional		$1,207.14	$1,252.69	$1,931.64
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 $1,028.93 / $1,460.89 / $2,502.11	Professional		$1,028.93	$1,460.89	$2,502.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,712.09 / $2,712.09 / $2,712.09	Facility		$2,712.09	$2,712.09	$2,712.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.79 / $1,869.04 / $2,420.67	Professional		$1,458.79	$1,869.04	$2,420.67
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 $1,033.79 / $1,270.66 / $4,077.01	Professional		$1,033.79	$1,270.66	$4,077.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.59 / $1,085.59 / $1,085.59	Facility		$1,085.59	$1,085.59	$1,085.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,469.90 / $3,037.80	Professional		$7.00	$1,469.90	$3,037.80
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 $1,033.36 / $1,459.52 / $2,502.11	Professional		$1,033.36	$1,459.52	$2,502.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $969.23 / $1,179.27 / $1,179.27	Facility		$969.23	$1,179.27	$1,179.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $969.23 / $1,179.27 / $1,241.99	Professional		$969.23	$1,179.27	$1,241.99
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 $997.46 / $1,363.78 / $2,340.25	Professional		$997.46	$1,363.78	$2,340.25