Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.33 / $3,839.00 / $8,113.00	Facility		$1,150.33	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.16 / $1,150.33 / $1,485.64	Professional		$1,019.16	$1,150.33	$1,485.64
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 $1,148.69 / $1,192.04 / $1,192.04	Professional		$1,148.69	$1,192.04	$1,192.04
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 $974.05 / $1,397.77 / $2,393.98	Professional		$974.05	$1,397.77	$2,393.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,585.69 / $2,585.69 / $2,585.69	Facility		$2,585.69	$2,585.69	$2,585.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.74 / $1,786.15 / $2,307.25	Professional		$1,389.74	$1,786.15	$2,307.25
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 $987.01 / $1,217.72 / $3,914.23	Professional		$987.01	$1,217.72	$3,914.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.50 / $1,006.50 / $1,006.50	Facility		$1,006.50	$1,006.50	$1,006.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,305.09 / $2,920.00	Professional		$7.00	$1,305.09	$2,920.00
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 $981.52 / $1,379.43 / $2,393.98	Professional		$981.52	$1,379.43	$2,393.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $939.19 / $1,125.32 / $1,125.32	Facility		$939.19	$1,125.32	$1,125.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $939.19 / $1,125.32 / $1,187.27	Professional		$939.19	$1,125.32	$1,187.27
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 $949.06 / $1,303.69 / $2,218.52	Professional		$949.06	$1,303.69	$2,218.52