Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.91 / $1,015.66 / $1,316.49	Professional		$897.91	$1,015.66	$1,316.49
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 $1,019.32 / $1,057.78 / $1,057.78	Professional		$1,019.32	$1,057.78	$1,057.78
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 $868.21 / $1,239.33 / $2,118.25	Professional		$868.21	$1,239.33	$2,118.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,289.11 / $2,289.11 / $2,289.11	Facility		$2,289.11	$2,289.11	$2,289.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.58 / $1,576.51 / $2,043.10	Professional		$1,231.58	$1,576.51	$2,043.10
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 $881.76 / $1,071.71 / $3,437.47	Professional		$881.76	$1,071.71	$3,437.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $820.10 / $820.10 / $820.10	Facility		$820.10	$820.10	$820.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,093.50 / $2,560.60	Professional		$7.00	$1,093.50	$2,560.60
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 $871.73 / $1,236.77 / $2,118.25	Professional		$871.73	$1,236.77	$2,118.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $995.30 / $995.30	Facility		$812.35	$995.30	$995.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.35 / $995.30 / $1,047.77	Professional		$812.35	$995.30	$1,047.77
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 $861.30 / $1,171.65 / $1,979.63	Professional		$861.30	$1,171.65	$1,979.63