Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.18 / $3,839.00 / $8,113.00	Facility		$1,179.18	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.89 / $1,179.18 / $1,526.35	Professional		$1,043.89	$1,179.18	$1,526.35
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 $1,180.86 / $1,225.43 / $1,225.43	Professional		$1,180.86	$1,225.43	$1,225.43
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 $1,003.66 / $1,430.81 / $2,450.59	Professional		$1,003.66	$1,430.81	$2,450.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,655.18 / $2,655.18 / $2,655.18	Facility		$2,655.18	$2,655.18	$2,655.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.76 / $1,831.54 / $2,369.55	Professional		$1,427.76	$1,831.54	$2,369.55
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 $1,019.02 / $1,246.66 / $4,001.89	Professional		$1,019.02	$1,246.66	$4,001.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.10 / $1,000.10 / $1,000.10	Facility		$1,000.10	$1,000.10	$1,000.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,267.00 / $2,983.30	Professional		$7.00	$1,267.00	$2,983.30
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 $1,005.86 / $1,425.37 / $2,450.59	Professional		$1,005.86	$1,425.37	$2,450.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $917.16 / $1,155.03 / $1,155.03	Facility		$917.16	$1,155.03	$1,155.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $917.16 / $1,155.03 / $1,217.34	Professional		$917.16	$1,155.03	$1,217.34
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 $992.61 / $1,346.63 / $2,291.51	Professional		$992.61	$1,346.63	$2,291.51