Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.60 / $3,839.00 / $8,113.00	Facility		$840.60	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $784.24 / $1,015.84	Professional		$690.05	$784.24	$1,015.84
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 $785.80 / $815.45 / $815.45	Professional		$785.80	$815.45	$815.45
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 $654.30 / $942.33 / $1,613.96	Professional		$654.30	$942.33	$1,613.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,767.74 / $1,767.74 / $1,767.74	Facility		$1,767.74	$1,767.74	$1,767.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $950.28 / $1,220.29 / $1,577.63	Professional		$950.28	$1,220.29	$1,577.63
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 $676.80 / $818.00 / $2,664.35	Professional		$676.80	$818.00	$2,664.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $653.79 / $653.79 / $653.79	Facility		$653.79	$653.79	$653.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $829.80 / $1,986.80	Professional		$6.00	$829.80	$1,986.80
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 $656.16 / $931.10 / $1,613.96	Professional		$656.16	$931.10	$1,613.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $674.90 / $768.95 / $768.95	Facility		$674.90	$768.95	$768.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $768.95 / $810.85	Professional		$674.90	$768.95	$810.85
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 $659.14 / $886.42 / $1,585.71	Professional		$659.14	$886.42	$1,585.71