Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,051.00 / $8,451.00	Facility		$1,301.00	$4,051.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.84 / $2,761.45 / $3,486.72	Professional		$2,512.84	$2,761.45	$3,486.72
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 $2,694.52 / $2,796.20 / $2,796.20	Professional		$2,694.52	$2,796.20	$2,796.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,064.82	Facility		$500.00	$800.00	$3,064.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.69 / $3,340.97 / $5,305.52	Professional		$2,160.69	$3,340.97	$5,305.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,051.55 / $6,051.55 / $6,051.55	Facility		$6,051.55	$6,051.55	$6,051.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.52 / $4,245.51 / $5,424.47	Professional		$3,200.52	$4,245.51	$5,424.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,329.71 / $2,843.00 / $5,958.00	Professional		$2,329.71	$2,843.00	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,406.19 / $2,406.19 / $2,406.19	Facility		$2,406.19	$2,406.19	$2,406.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,878.30 / $7,085.60	Professional		$7.00	$2,878.30	$7,085.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,064.82	Facility		$500.00	$800.00	$3,064.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.32 / $3,311.98 / $5,545.96	Professional		$2,201.32	$3,311.98	$5,545.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,454.04 / $2,680.09 / $2,680.09	Facility		$2,454.04	$2,680.09	$2,680.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.04 / $2,680.09 / $2,839.26	Professional		$2,454.04	$2,680.09	$2,839.26
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 $2,228.42 / $3,133.80 / $5,211.71	Professional		$2,228.42	$3,133.80	$5,211.71