Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.46 / $3,839.00 / $8,113.00	Facility		$1,124.46	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.77 / $1,165.53 / $1,419.98	Professional		$982.77	$1,165.53	$1,419.98
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 $1,233.94 / $1,280.50 / $2,132.41	Professional		$1,233.94	$1,280.50	$2,132.41
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 $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.26 / $2,775.26 / $2,775.26	Facility		$2,775.26	$2,775.26	$2,775.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.24 / $1,801.44 / $2,476.46	Professional		$1,492.24	$1,801.44	$2,476.46
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 $856.00 / $1,219.05 / $5,457.00	Professional		$856.00	$1,219.05	$5,457.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.40 / $2,382.60 / $3,129.40	Professional		$1,977.40	$2,382.60	$3,129.40
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 $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $968.30 / $1,208.75 / $1,208.75	Facility		$968.30	$1,208.75	$1,208.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $968.30 / $1,208.75 / $1,274.33	Professional		$968.30	$1,208.75	$1,274.33
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.02 / $1,291.58 / $2,131.80	Professional		$1,009.02	$1,291.58	$2,131.80