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 $879.25 / $974.82 / $1,269.11	Professional		$879.25	$974.82	$1,269.11
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 $978.12 / $1,015.03 / $1,822.66	Professional		$978.12	$1,015.03	$1,822.66
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 $832.98 / $1,201.25 / $2,057.42	Professional		$832.98	$1,201.25	$2,057.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,185.53 / $2,185.53 / $2,185.53	Facility		$2,185.53	$2,185.53	$2,185.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,514.24 / $1,970.47	Professional		$1,168.04	$1,514.24	$1,970.47
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 $861.35 / $1,038.75 / $3,299.56	Professional		$861.35	$1,038.75	$3,299.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $921.80 / $921.80 / $921.80	Facility		$921.80	$921.80	$921.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,248.90 / $2,458.80	Professional		$7.00	$1,248.90	$2,458.80
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 $840.15 / $1,199.40 / $2,057.42	Professional		$840.15	$1,199.40	$2,057.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $917.03 / $962.86 / $962.86	Facility		$917.03	$962.86	$962.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $917.03 / $962.86 / $1,012.58	Professional		$917.03	$962.86	$1,012.58
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 $849.91 / $1,152.71 / $1,886.66	Professional		$849.91	$1,152.71	$1,886.66