Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,264.00 / $8,451.00	Facility		$1,301.00	$4,264.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,188.30 / $2,763.84	Professional		$2,015.83	$2,188.30	$2,763.84
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 $2,137.69 / $2,218.37 / $2,218.37	Professional		$2,137.69	$2,218.37	$2,218.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,429.19	Facility		$500.00	$800.00	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.95 / $2,661.85 / $4,403.06	Professional		$1,731.95	$2,661.85	$4,403.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,808.77 / $4,808.77 / $4,808.77	Facility		$4,808.77	$4,808.77	$4,808.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,542.84 / $3,373.03 / $4,309.71	Professional		$2,542.84	$3,373.03	$4,309.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,350.00 / $9,534.00	Facility		$1,013.00	$5,350.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,929.62 / $2,313.64 / $5,958.00	Professional		$1,929.62	$2,313.64	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.50 / $2,032.50 / $2,032.50	Facility		$2,032.50	$2,032.50	$2,032.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,611.40 / $5,635.60	Professional		$7.00	$2,611.40	$5,635.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,429.19	Facility		$500.00	$800.00	$2,429.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.47 / $2,642.92 / $4,443.47	Professional		$1,785.47	$2,642.92	$4,443.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,108.51 / $2,126.02 / $2,126.02	Facility		$2,108.51	$2,126.02	$2,126.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,071.81 / $2,126.02 / $2,255.03	Professional		$2,071.81	$2,126.02	$2,255.03
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 $1,808.12 / $2,419.19 / $4,119.50	Professional		$1,808.12	$2,419.19	$4,119.50