Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.44 / $2,851.90 / $3,663.17	Professional		$2,547.44	$2,851.90	$3,663.17
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 $2,816.82 / $2,923.12 / $2,923.12	Professional		$2,816.82	$2,923.12	$2,923.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,227.34	Facility		$500.00	$800.00	$3,227.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.66 / $3,375.04 / $5,992.60	Professional		$2,231.66	$3,375.04	$5,992.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,285.38 / $6,285.38 / $6,285.38	Facility		$6,285.38	$6,285.38	$6,285.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,383.09 / $4,307.37 / $5,628.03	Professional		$3,383.09	$4,307.37	$5,628.03
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 $2,480.64 / $2,927.63 / $5,958.00	Professional		$2,480.64	$2,927.63	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.10 / $2,258.10 / $2,258.10	Facility		$2,258.10	$2,258.10	$2,258.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,040.70 / $7,009.00	Professional		$15.00	$3,040.70	$7,009.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,227.34	Facility		$500.00	$800.00	$3,227.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.67 / $3,341.49 / $5,992.60	Professional		$2,160.67	$3,341.49	$5,992.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,761.57 / $2,761.57 / $2,880.51	Facility		$2,761.57	$2,761.57	$2,880.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,639.78 / $2,813.06 / $2,893.75	Professional		$2,639.78	$2,813.06	$2,893.75
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,241.44 / $3,208.31 / $5,481.42	Professional		$2,241.44	$3,208.31	$5,481.42