Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.41 / $4,894.00 / $8,451.00	Facility		$1,028.41	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.53 / $959.60 / $1,424.66	Professional		$850.53	$959.60	$1,424.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $962.96 / $999.30 / $1,774.54	Professional		$962.96	$999.30	$1,774.54
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 $817.98 / $1,164.07 / $1,964.54	Professional		$817.98	$1,164.07	$1,964.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,165.98 / $2,165.98 / $2,165.98	Facility		$2,165.98	$2,165.98	$2,165.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.32 / $1,495.17 / $1,933.27	Professional		$1,164.32	$1,495.17	$1,933.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $829.45 / $1,028.41 / $4,573.00	Professional		$829.45	$1,028.41	$4,573.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $906.40 / $906.40 / $906.40	Facility		$906.40	$906.40	$906.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $906.40 / $1,221.30 / $1,981.40	Professional		$906.40	$1,221.30	$1,981.40
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 $819.31 / $1,148.76 / $1,964.54	Professional		$819.31	$1,148.76	$1,964.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $854.73 / $940.47 / $940.47	Facility		$854.73	$940.47	$940.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.73 / $940.47 / $991.54	Professional		$854.73	$940.47	$991.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.81 / $1,089.78 / $1,861.73	Professional		$818.81	$1,089.78	$1,861.73