Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.41 / $733.97 / $1,008.86	Professional		$652.41	$733.97	$1,008.86
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 $783.02 / $812.57 / $812.57	Professional		$783.02	$812.57	$812.57
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 $648.51 / $923.38 / $1,569.66	Professional		$648.51	$923.38	$1,569.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,763.66 / $1,763.66 / $1,763.66	Facility		$1,763.66	$1,763.66	$1,763.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $947.61 / $1,219.35 / $1,573.75	Professional		$947.61	$1,219.35	$1,573.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $652.41 / $842.91 / $3,292.35	Professional		$652.41	$842.91	$3,292.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $889.20 / $889.20 / $889.20	Facility		$889.20	$889.20	$889.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,061.59 / $1,750.70	Professional		$7.00	$1,061.59	$1,750.70
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 $650.60 / $916.47 / $1,564.80	Professional		$650.60	$916.47	$1,564.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $764.46 / $764.46 / $821.66	Facility		$764.46	$764.46	$821.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $734.32 / $774.97 / $821.66	Professional		$734.32	$774.97	$821.66
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.82 / $843.06 / $1,371.52	Professional		$657.82	$843.06	$1,371.52