Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,894.00 / $8,451.00	Facility		$1,013.00	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.47 / $765.28 / $990.70	Professional		$679.47	$765.28	$990.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $678.44 / $798.16 / $1,174.77	Professional		$678.44	$798.16	$1,174.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $800.00 / $3,025.00	Facility		$739.00	$800.00	$3,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $947.85 / $1,602.06	Professional		$665.00	$947.85	$1,602.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,731.49 / $1,731.49 / $1,731.49	Facility		$1,731.49	$1,731.49	$1,731.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $930.55 / $1,196.31 / $1,545.08	Professional		$930.55	$1,196.31	$1,545.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,424.00 / $9,617.00	Facility		$1,151.00	$5,424.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $681.76 / $819.55 / $3,956.41	Professional		$681.76	$819.55	$3,956.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $842.30 / $842.30 / $842.30	Facility		$842.30	$842.30	$842.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,001.60 / $1,939.30	Professional		$7.00	$1,001.60	$1,939.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $800.00 / $3,025.00	Facility		$739.00	$800.00	$3,025.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $666.22 / $943.28 / $1,602.06	Professional		$666.22	$943.28	$1,602.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $750.36 / $750.36 / $970.47	Facility		$750.36	$750.36	$970.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $720.22 / $761.00 / $970.47	Professional		$720.22	$761.00	$970.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,803.00 / $4,563.00 / $7,000.00	Facility		$1,803.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $865.39 / $1,467.80	Professional		$664.12	$865.39	$1,467.80