Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.55 / $3,839.00 / $8,113.00	Facility		$1,155.55	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.57 / $1,155.55 / $1,493.93	Professional		$1,022.57	$1,155.55	$1,493.93
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 $1,154.85 / $1,198.44 / $1,771.27	Professional		$1,154.85	$1,198.44	$1,771.27
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 $985.40 / $1,399.64 / $2,397.19	Professional		$985.40	$1,399.64	$2,397.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,598.81 / $2,598.81 / $2,598.81	Facility		$2,598.81	$2,598.81	$2,598.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.74 / $1,794.94 / $2,319.42	Professional		$1,396.74	$1,794.94	$2,319.42
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 $992.37 / $1,223.58 / $3,930.14	Professional		$992.37	$1,223.58	$3,930.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.40 / $1,018.40 / $1,018.40	Facility		$1,018.40	$1,018.40	$1,018.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,345.90 / $2,931.50	Professional		$7.00	$1,345.90	$2,931.50
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 $985.40 / $1,398.46 / $2,397.19	Professional		$985.40	$1,398.46	$2,397.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,131.36 / $1,131.36 / $1,287.96	Facility		$1,131.36	$1,131.36	$1,287.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.16 / $1,147.55 / $1,287.96	Professional		$1,086.16	$1,147.55	$1,287.96
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 $953.00 / $1,310.16 / $2,219.77	Professional		$953.00	$1,310.16	$2,219.77