Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,160.00 / $5,551.00	Facility		$1,000.00	$3,160.00	$5,551.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,500.00	Professional		$1,000.00	$1,000.00	$1,500.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,504.75 / $1,561.54 / $2,460.48	Professional		$1,504.75	$1,561.54	$2,460.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.15 / $1,142.33 / $4,764.13	Facility		$453.15	$1,142.33	$4,764.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.03 / $443.02 / $856.73	Professional		$255.03	$443.02	$856.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $610.84 / $2,092.80 / $2,230.48	Professional		$610.84	$2,092.80	$2,230.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $3,160.00 / $7,209.00	Facility		$1,100.00	$3,160.00	$7,209.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,297.00	Professional		$1,000.00	$1,000.00	$2,297.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $105.51 / $1,091.58	Professional		$94.57	$105.51	$1,091.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $459.66 / $1,142.33 / $4,764.13	Facility		$459.66	$1,142.33	$4,764.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $494.04 / $952.13	Professional		$278.70	$494.04	$952.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,447.79 / $1,447.79	Facility		$1,320.00	$1,447.79	$1,447.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $826.33 / $1,392.79 / $1,447.79	Professional		$826.33	$1,392.79	$1,447.79
United Facility/Professional Professional Modifier Low / Median / High Price $933.95 / $1,471.93 / $2,631.39	Professional		$933.95	$1,471.93	$2,631.39