Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.53 / $5,079.00 / $9,534.00	Facility		$1,362.53	$5,079.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.57 / $1,273.38 / $1,648.40	Professional		$1,123.57	$1,273.38	$1,648.40
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 $1,272.29 / $1,320.30 / $1,320.30	Professional		$1,272.29	$1,320.30	$1,320.30
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 $1,089.30 / $1,548.14 / $2,644.64	Professional		$1,089.30	$1,548.14	$2,644.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,856.00 / $2,856.00 / $2,856.00	Facility		$2,856.00	$2,856.00	$2,856.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.63 / $1,966.29 / $2,549.58	Professional		$1,536.63	$1,966.29	$2,549.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,362.53 / $5,350.00 / $9,830.00	Facility		$1,362.53	$5,350.00	$9,830.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,108.90 / $1,353.28 / $4,573.00	Professional		$1,108.90	$1,353.28	$4,573.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,188.20 / $1,188.20 / $1,188.20	Facility		$1,188.20	$1,188.20	$1,188.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.20 / $1,657.20 / $2,687.80	Professional		$1,188.20	$1,657.20	$2,687.80
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 $1,093.33 / $1,544.11 / $2,644.64	Professional		$1,093.33	$1,544.11	$2,644.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,246.00 / $1,246.00 / $1,282.99	Facility		$1,246.00	$1,246.00	$1,282.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,194.06 / $1,266.05 / $1,311.47	Professional		$1,194.06	$1,266.05	$1,311.47
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 $1,081.10 / $1,463.80 / $2,589.96	Professional		$1,081.10	$1,463.80	$2,589.96