Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.56 / $3,839.00 / $8,113.00	Facility		$1,229.56	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.36 / $1,229.56 / $1,897.15	Professional		$1,071.36	$1,229.56	$1,897.15
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 $1,239.32 / $1,286.08 / $1,286.08	Professional		$1,239.32	$1,286.08	$1,286.08
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 $980.09 / $1,458.43 / $2,520.26	Professional		$980.09	$1,458.43	$2,520.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,804.42 / $2,804.42 / $2,804.42	Facility		$2,804.42	$2,804.42	$2,804.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.64 / $1,949.70 / $2,500.48	Professional		$1,471.64	$1,949.70	$2,500.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,066.04 / $1,317.12 / $4,225.60	Professional		$1,066.04	$1,317.12	$4,225.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $922.10 / $922.10 / $922.10	Facility		$922.10	$922.10	$922.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,125.50 / $3,160.80	Professional		$7.00	$1,125.50	$3,160.80
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 $980.09 / $1,438.44 / $2,436.64	Professional		$980.09	$1,438.44	$2,436.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $872.06 / $1,205.31 / $1,205.31	Facility		$872.06	$1,205.31	$1,205.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $872.06 / $1,205.31 / $1,277.08	Professional		$872.06	$1,205.31	$1,277.08
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 $967.29 / $1,376.19 / $2,362.92	Professional		$967.29	$1,376.19	$2,362.92