Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.21 / $1,060.48 / $1,368.12	Professional		$940.21	$1,060.48	$1,368.12
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 $1,058.43 / $1,098.36 / $1,356.21	Professional		$1,058.43	$1,098.36	$1,356.21
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 $910.73 / $1,287.84 / $2,188.40	Professional		$910.73	$1,287.84	$2,188.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,384.11 / $2,384.11 / $2,384.11	Facility		$2,384.11	$2,384.11	$2,384.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.95 / $1,648.42 / $2,127.34	Professional		$1,280.95	$1,648.42	$2,127.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $920.16 / $1,123.70 / $3,613.88	Professional		$920.16	$1,123.70	$3,613.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.70 / $1,130.70 / $1,130.70	Facility		$1,130.70	$1,130.70	$1,130.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,364.30 / $2,697.10	Professional		$7.00	$1,364.30	$2,697.10
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 $913.47 / $1,277.73 / $2,188.40	Professional		$913.47	$1,277.73	$2,188.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $969.13 / $1,036.88 / $1,036.88	Facility		$969.13	$1,036.88	$1,036.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $969.13 / $1,036.88 / $1,094.63	Professional		$969.13	$1,036.88	$1,094.63
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 $920.30 / $1,190.97 / $2,027.56	Professional		$920.30	$1,190.97	$2,027.56