Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,964.00 / $8,427.00	Facility		$1,020.00	$3,964.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.17 / $1,004.48 / $1,284.82	Professional		$898.17	$1,004.48	$1,284.82
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 $995.53 / $1,033.09 / $1,533.00	Professional		$995.53	$1,033.09	$1,533.00
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 $849.92 / $1,199.14 / $2,078.92	Professional		$849.92	$1,199.14	$2,078.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.34 / $2,258.34 / $2,258.34	Facility		$2,258.34	$2,258.34	$2,258.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.20 / $1,574.61 / $2,012.76	Professional		$1,210.20	$1,574.61	$2,012.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.77 / $1,065.86 / $3,474.46	Professional		$850.77	$1,065.86	$3,474.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.70 / $1,015.70 / $1,015.70	Facility		$1,015.70	$1,015.70	$1,015.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,303.20 / $2,603.50	Professional		$7.00	$1,303.20	$2,603.50
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 $852.25 / $1,197.38 / $2,078.92	Professional		$852.25	$1,197.38	$2,078.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $978.14 / $979.18 / $979.18	Facility		$978.14	$979.18	$979.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $945.69 / $979.18 / $1,040.10	Professional		$945.69	$979.18	$1,040.10
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 $835.57 / $1,135.85 / $1,950.27	Professional		$835.57	$1,135.85	$1,950.27