Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $2,747.00 / $8,017.00	Facility		$1,056.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.50 / $1,090.89 / $1,404.84	Professional		$978.50	$1,090.89	$1,404.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,100.03 / $1,141.54 / $1,863.33	Professional		$1,100.03	$1,141.54	$1,863.33
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 $892.92 / $1,330.39 / $2,278.60	Professional		$892.92	$1,330.39	$2,278.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,452.04 / $2,452.04 / $2,452.04	Facility		$2,452.04	$2,452.04	$2,452.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.45 / $1,716.67 / $2,193.38	Professional		$1,295.45	$1,716.67	$2,193.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,120.00 / $8,017.00	Facility		$1,013.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $1,155.79 / $3,730.37	Professional		$934.00	$1,155.79	$3,730.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $811.90 / $811.90 / $811.90	Facility		$811.90	$811.90	$811.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,090.70 / $2,790.40	Professional		$5.00	$1,090.70	$2,790.40
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 $892.92 / $1,311.67 / $2,278.60	Professional		$892.92	$1,311.67	$2,278.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $801.81 / $1,077.06 / $1,077.06	Facility		$801.81	$1,077.06	$1,077.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $801.81 / $1,077.06 / $1,134.44	Professional		$801.81	$1,077.06	$1,134.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.20 / $1,221.09 / $2,180.34	Professional		$890.20	$1,221.09	$2,180.34