Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.42 / $1,117.42 / $1,117.42	Facility		$1,117.42	$1,117.42	$1,117.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.89 / $1,117.42 / $1,379.82	Professional		$885.89	$1,117.42	$1,379.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,159.49 / $1,203.25 / $1,879.48	Professional		$1,159.49	$1,203.25	$1,879.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.81 / $1,238.85 / $2,177.01	Professional		$964.81	$1,238.85	$2,177.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.11 / $2,520.11 / $2,520.11	Facility		$2,520.11	$2,520.11	$2,520.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.66 / $1,580.59 / $2,365.42	Professional		$1,148.66	$1,580.59	$2,365.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $891.01 / $1,149.02 / $2,141.92	Professional		$891.01	$1,149.02	$2,141.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $706.00 / $706.00	Facility		$706.00	$706.00	$706.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.00 / $1,584.30 / $2,359.10	Professional		$706.00	$1,584.30	$2,359.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $959.48 / $1,238.85 / $2,112.79	Professional		$959.48	$1,238.85	$2,112.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,147.42 / $1,147.42 / $1,147.42	Facility		$1,147.42	$1,147.42	$1,147.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $947.22 / $1,147.42 / $1,191.60	Professional		$947.22	$1,147.42	$1,191.60
United Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $1,017.60 / $1,737.72	Professional		$801.65	$1,017.60	$1,737.72