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 $1,174.91 / $1,322.00 / $1,651.88	Professional		$1,174.91	$1,322.00	$1,651.88
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 $1,289.63 / $1,338.29 / $1,338.29	Professional		$1,289.63	$1,338.29	$1,338.29
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 $1,090.22 / $1,581.62 / $2,741.59	Professional		$1,090.22	$1,581.62	$2,741.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,858.56 / $2,858.56 / $2,858.56	Facility		$2,858.56	$2,858.56	$2,858.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.57 / $2,000.96 / $2,557.25	Professional		$1,510.57	$2,000.96	$2,557.25
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 $1,166.15 / $1,349.34 / $4,337.64	Professional		$1,166.15	$1,349.34	$4,337.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.20 / $1,258.20 / $1,258.20	Facility		$1,258.20	$1,258.20	$1,258.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,656.00 / $3,237.00	Professional		$7.00	$1,656.00	$3,237.00
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 $1,116.31 / $1,581.08 / $2,741.59	Professional		$1,116.31	$1,581.08	$2,741.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,263.41 / $1,263.41 / $1,473.35	Facility		$1,263.41	$1,263.41	$1,473.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,224.79 / $1,269.82 / $1,473.35	Professional		$1,224.79	$1,269.82	$1,473.35
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 $1,110.85 / $1,505.34 / $2,523.77	Professional		$1,110.85	$1,505.34	$2,523.77