Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.58 / $3,839.00 / $8,113.00	Facility		$1,100.58	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.95 / $1,100.58 / $1,483.04	Professional		$953.95	$1,100.58	$1,483.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,013.39 / $1,013.39 / $1,013.39	Professional		$1,013.39	$1,013.39	$1,013.39
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 $1,100.04 / $1,141.55 / $1,765.03	Professional		$1,100.04	$1,141.55	$1,765.03
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 $941.41 / $1,331.73 / $2,274.51	Professional		$941.41	$1,331.73	$2,274.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,470.57 / $2,470.57 / $2,470.57	Facility		$2,470.57	$2,470.57	$2,470.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.85 / $1,702.23 / $2,205.61	Professional		$1,328.85	$1,702.23	$2,205.61
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 $953.95 / $1,160.82 / $3,727.65	Professional		$953.95	$1,160.82	$3,727.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.80 / $1,044.80 / $1,044.80	Facility		$1,044.80	$1,044.80	$1,044.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,408.80 / $2,777.30	Professional		$7.00	$1,408.80	$2,777.30
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 $944.86 / $1,328.01 / $2,274.51	Professional		$944.86	$1,328.01	$2,274.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.04 / $1,077.55 / $1,077.55	Facility		$1,071.04	$1,077.55	$1,077.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,033.02 / $1,077.55 / $1,134.73	Professional		$1,033.02	$1,077.55	$1,134.73
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.74 / $1,235.91 / $2,102.11	Professional		$939.74	$1,235.91	$2,102.11