Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.76 / $3,839.00 / $8,113.00	Facility		$1,096.76	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.20 / $1,096.76 / $1,417.08	Professional		$971.20	$1,096.76	$1,417.08
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 $1,096.38 / $1,137.75 / $1,137.75	Professional		$1,096.38	$1,137.75	$1,137.75
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 $933.40 / $1,324.04 / $2,267.71	Professional		$933.40	$1,324.04	$2,267.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,469.03 / $2,469.03 / $2,469.03	Facility		$2,469.03	$2,469.03	$2,469.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.90 / $1,706.35 / $2,202.85	Professional		$1,326.90	$1,706.35	$2,202.85
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 $943.92 / $1,176.61 / $3,735.04	Professional		$943.92	$1,176.61	$3,735.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $940.60 / $940.60 / $940.60	Facility		$940.60	$940.60	$940.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,213.90 / $2,787.00	Professional		$7.00	$1,213.90	$2,787.00
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 $934.65 / $1,322.19 / $2,267.71	Professional		$934.65	$1,322.19	$2,267.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $854.08 / $1,073.70 / $1,073.70	Facility		$854.08	$1,073.70	$1,073.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.08 / $1,073.70 / $1,133.20	Professional		$854.08	$1,073.70	$1,133.20
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 $928.30 / $1,274.15 / $2,133.77	Professional		$928.30	$1,274.15	$2,133.77