Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,113.00	Facility		$1,301.00	$3,964.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,197.84 / $3,643.17 / $4,650.79	Professional		$3,197.84	$3,643.17	$4,650.79
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 $3,565.13 / $3,699.66 / $3,699.66	Professional		$3,565.13	$3,699.66	$3,699.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,091.99	Facility		$500.00	$800.00	$4,091.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,483.96 / $4,237.24 / $7,599.02	Professional		$2,483.96	$4,237.24	$7,599.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,941.02 / $7,941.02 / $7,941.02	Facility		$7,941.02	$7,941.02	$7,941.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,277.25 / $5,429.86 / $7,112.31	Professional		$4,277.25	$5,429.86	$7,112.31
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 $3,137.73 / $3,728.45 / $7,197.00	Professional		$3,137.73	$3,728.45	$7,197.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,513.69 / $2,513.69 / $2,513.69	Facility		$2,513.69	$2,513.69	$2,513.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,082.60 / $8,860.20	Professional		$15.00	$3,082.60	$8,860.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,091.99	Facility		$500.00	$800.00	$4,091.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.96 / $4,231.74 / $7,599.02	Professional		$2,483.96	$4,231.74	$7,599.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,501.85 / $3,501.85 / $3,686.78	Facility		$3,501.85	$3,501.85	$3,686.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,343.50 / $3,571.21 / $3,686.78	Professional		$3,343.50	$3,571.21	$3,686.78
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 $2,853.43 / $4,228.77 / $7,364.86	Professional		$2,853.43	$4,228.77	$7,364.86