Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,652.13 / $8,113.00	Facility		$1,301.00	$4,652.13	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,916.90 / $4,557.13 / $5,703.47	Professional		$3,916.90	$4,557.13	$5,703.47
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 $4,369.46 / $4,534.34 / $4,534.34	Professional		$4,369.46	$4,534.34	$4,534.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,017.04	Facility		$500.00	$800.00	$5,017.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,667.36 / $5,194.60 / $9,315.94	Professional		$2,667.36	$5,194.60	$9,315.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,727.70 / $9,727.70 / $9,727.70	Facility		$9,727.70	$9,727.70	$9,727.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,240.51 / $6,647.60 / $8,339.70	Professional		$5,240.51	$6,647.60	$8,339.70
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 $3,844.13 / $4,607.52 / $7,878.93	Professional		$3,844.13	$4,607.52	$7,878.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,542.80 / $2,542.80 / $2,542.80	Facility		$2,542.80	$2,542.80	$2,542.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,441.00 / $10,851.00	Professional		$15.00	$3,441.00	$10,851.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,017.04	Facility		$500.00	$800.00	$5,017.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.41 / $5,188.22 / $9,315.94	Professional		$2,549.41	$5,188.22	$9,315.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,293.06 / $4,293.06 / $4,489.08	Facility		$4,293.06	$4,293.06	$4,489.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,097.64 / $4,379.43 / $4,490.24	Professional		$4,097.64	$4,379.43	$4,490.24
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 $3,210.24 / $5,044.67 / $8,623.08	Professional		$3,210.24	$5,044.67	$8,623.08