Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.38 / $3,839.00 / $8,113.00	Facility		$911.38	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $850.50 / $1,196.33	Professional		$736.90	$850.50	$1,196.33
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 $853.84 / $886.06 / $886.06	Professional		$853.84	$886.06	$886.06
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 $726.63 / $1,032.45 / $1,754.17	Professional		$726.63	$1,032.45	$1,754.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.24 / $1,920.24 / $1,920.24	Facility		$1,920.24	$1,920.24	$1,920.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,325.20 / $1,713.91	Professional		$1,032.32	$1,325.20	$1,713.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $713.08 / $884.51 / $2,843.00	Professional		$713.08	$884.51	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $743.00 / $743.00	Facility		$743.00	$743.00	$743.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $972.30 / $2,152.50	Professional		$7.00	$972.30	$2,152.50
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 $730.45 / $1,024.20 / $1,754.17	Professional		$730.45	$1,024.20	$1,754.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $687.03 / $833.62 / $833.62	Facility		$687.03	$833.62	$833.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $687.03 / $833.62 / $878.73	Professional		$687.03	$833.62	$878.73
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 $724.60 / $968.16 / $1,602.41	Professional		$724.60	$968.16	$1,602.41