Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,546.93 / $8,113.00	Facility		$1,301.00	$4,546.93	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,868.14 / $4,451.47 / $6,081.96	Professional		$3,868.14	$4,451.47	$6,081.96
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 $4,275.38 / $4,436.72 / $4,436.72	Professional		$4,275.38	$4,436.72	$4,436.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,904.50	Facility		$500.00	$800.00	$4,904.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,782.70 / $5,078.20 / $9,107.18	Professional		$2,782.70	$5,078.20	$9,107.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,525.56 / $9,525.56 / $9,525.56	Facility		$9,525.56	$9,525.56	$9,525.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,129.99 / $6,515.81 / $8,531.53	Professional		$5,129.99	$6,515.81	$8,531.53
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 $3,761.77 / $4,515.43 / $7,542.94	Professional		$3,761.77	$4,515.43	$7,542.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,670.40 / $2,670.40 / $2,670.40	Facility		$2,670.40	$2,670.40	$2,670.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,553.90 / $10,618.20	Professional		$15.00	$3,553.90	$10,618.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,904.50	Facility		$500.00	$800.00	$4,904.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,666.55 / $5,078.20 / $9,107.18	Professional		$2,666.55	$5,078.20	$9,107.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,196.85 / $4,196.85 / $4,454.72	Facility		$4,196.85	$4,196.85	$4,454.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,007.74 / $4,279.30 / $4,454.72	Professional		$4,007.74	$4,279.30	$4,454.72
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 $3,154.03 / $4,921.70 / $8,416.75	Professional		$3,154.03	$4,921.70	$8,416.75