Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.57 / $3,839.00 / $8,113.00	Facility		$1,164.57	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.72 / $1,164.57 / $1,504.81	Professional		$1,031.72	$1,164.57	$1,504.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,164.79 / $1,208.75 / $1,208.75	Professional		$1,164.79	$1,208.75	$1,208.75
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 $945.26 / $1,397.06 / $2,392.78	Professional		$945.26	$1,397.06	$2,392.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,621.58 / $2,621.58 / $2,621.58	Facility		$2,621.58	$2,621.58	$2,621.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.40 / $1,810.09 / $2,338.78	Professional		$1,409.40	$1,810.09	$2,338.78
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 $990.52 / $1,232.57 / $3,960.33	Professional		$990.52	$1,232.57	$3,960.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $747.30 / $747.30	Facility		$747.30	$747.30	$747.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $979.30 / $2,954.00	Professional		$7.00	$979.30	$2,954.00
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 $982.70 / $1,388.96 / $2,392.78	Professional		$982.70	$1,388.96	$2,392.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,048.78 / $1,139.60 / $1,139.60	Facility		$1,048.78	$1,139.60	$1,139.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,048.78 / $1,139.60 / $1,202.04	Professional		$1,048.78	$1,139.60	$1,202.04
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $972.66 / $1,326.43 / $2,236.98	Professional		$972.66	$1,326.43	$2,236.98