Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.38 / $4,051.00 / $8,247.00	Facility		$1,109.38	$4,051.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.08 / $1,138.96 / $1,390.50	Professional		$963.08	$1,138.96	$1,390.50
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 $1,467.86 / $1,726.89 / $2,831.19	Professional		$1,467.86	$1,726.89	$2,831.19
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 $665.00 / $1,387.93 / $2,489.10	Professional		$665.00	$1,387.93	$2,489.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,966.33 / $2,966.33 / $2,966.33	Facility		$2,966.33	$2,966.33	$2,966.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.45 / $2,143.77 / $2,746.50	Professional		$1,662.45	$2,143.77	$2,746.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,427.00	Facility		$1,013.00	$5,342.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,153.75 / $1,626.78	Professional		$855.90	$1,153.75	$1,626.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
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 $595.00 / $1,378.74 / $2,268.50	Professional		$595.00	$1,378.74	$2,268.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,627.14 / $1,627.14 / $4,845.80	Facility		$1,627.14	$1,627.14	$4,845.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,291.75 / $1,627.14 / $4,845.80	Professional		$1,291.75	$1,627.14	$4,845.80
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 $1,013.02 / $1,648.40 / $3,008.34	Professional		$1,013.02	$1,648.40	$3,008.34