Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.83 / $2,747.00 / $8,104.00	Facility		$1,023.83	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.42 / $1,023.83 / $1,326.23	Professional		$901.42	$1,023.83	$1,326.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,029.08 / $1,067.91 / $1,067.91	Professional		$1,029.08	$1,067.91	$1,067.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $3,858.13	Facility		$489.00	$1,865.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.74 / $1,235.47 / $2,127.19	Professional		$865.74	$1,235.47	$2,127.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,315.98 / $2,315.98 / $2,315.98	Facility		$2,315.98	$2,315.98	$2,315.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.83 / $1,599.52 / $2,066.73	Professional		$1,244.83	$1,599.52	$2,066.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $867.78 / $1,097.58 / $3,480.27	Professional		$867.78	$1,097.58	$3,480.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $917.30 / $917.30 / $917.30	Facility		$917.30	$917.30	$917.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $917.30 / $1,221.20 / $2,595.60	Professional		$917.30	$1,221.20	$2,595.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $3,671.23	Facility		$460.00	$1,403.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $865.74 / $1,235.47 / $2,127.19	Professional		$865.74	$1,235.47	$2,127.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $853.54 / $1,004.28 / $1,004.28	Facility		$853.54	$1,004.28	$1,004.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $853.54 / $1,004.28 / $1,059.23	Professional		$853.54	$1,004.28	$1,059.23
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.09 / $1,165.09 / $2,072.07	Professional		$870.09	$1,165.09	$2,072.07