Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,342.00 / $10,527.00	Facility		$1,020.00	$5,342.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.49 / $775.77 / $1,005.77	Professional		$687.49	$775.77	$1,005.77
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 $778.46 / $807.84 / $807.84	Professional		$778.46	$807.84	$807.84
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 $666.19 / $954.72 / $1,614.55	Professional		$666.19	$954.72	$1,614.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.50 / $1,750.50 / $1,750.50	Facility		$1,750.50	$1,750.50	$1,750.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $941.21 / $1,207.71 / $1,562.27	Professional		$941.21	$1,207.71	$1,562.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,958.00 / $11,083.00	Facility		$1,426.00	$5,958.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.40 / $838.90 / $4,007.06	Professional		$691.40	$838.90	$4,007.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $917.10 / $917.10 / $917.10	Facility		$917.10	$917.10	$917.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $801.82 / $1,122.55 / $1,651.60	Professional		$801.82	$1,122.55	$1,651.60
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 $676.61 / $954.44 / $1,614.55	Professional		$676.61	$954.44	$1,614.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $761.02 / $761.02 / $1,291.81	Facility		$761.02	$761.02	$1,291.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $772.53 / $1,291.81	Professional		$730.00	$772.53	$1,291.81
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 $691.32 / $910.66 / $1,571.61	Professional		$691.32	$910.66	$1,571.61