Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.75 / $3,839.00 / $8,113.00	Facility		$1,100.75	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.56 / $1,109.83 / $1,442.91	Professional		$984.56	$1,109.83	$1,442.91
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 $1,114.34 / $1,156.40 / $1,156.40	Professional		$1,114.34	$1,156.40	$1,156.40
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 $940.92 / $1,349.41 / $2,310.06	Professional		$940.92	$1,349.41	$2,310.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,502.59 / $2,502.59 / $2,502.59	Facility		$2,502.59	$2,502.59	$2,502.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.14 / $1,724.09 / $2,234.12	Professional		$1,346.14	$1,724.09	$2,234.12
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 $964.87 / $1,176.41 / $3,725.24	Professional		$964.87	$1,176.41	$3,725.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.80 / $1,038.80 / $1,038.80	Facility		$1,038.80	$1,038.80	$1,038.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,398.10 / $2,775.20	Professional		$8.00	$1,398.10	$2,775.20
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 $944.67 / $1,348.76 / $2,310.06	Professional		$944.67	$1,348.76	$2,310.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $983.14 / $1,091.05 / $1,091.05	Facility		$983.14	$1,091.05	$1,091.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $983.14 / $1,091.05 / $1,148.83	Professional		$983.14	$1,091.05	$1,148.83
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 $956.57 / $1,271.59 / $2,124.60	Professional		$956.57	$1,271.59	$2,124.60