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 $2,316.78 / $2,542.73 / $3,279.95	Professional		$2,316.78	$2,542.73	$3,279.95
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 $2,554.98 / $2,651.41 / $2,651.41	Professional		$2,554.98	$2,651.41	$2,651.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,910.22	Facility		$500.00	$800.00	$2,910.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,229.40 / $3,147.38 / $5,377.44	Professional		$2,229.40	$3,147.38	$5,377.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,720.88 / $5,720.88 / $5,720.88	Facility		$5,720.88	$5,720.88	$5,720.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,077.41 / $3,933.05 / $5,115.68	Professional		$3,077.41	$3,933.05	$5,115.68
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 $2,237.31 / $2,695.55 / $8,005.78	Professional		$2,237.31	$2,695.55	$8,005.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.69 / $2,204.69 / $2,204.69	Facility		$2,204.69	$2,204.69	$2,204.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,957.10 / $6,334.50	Professional		$15.00	$2,957.10	$6,334.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,910.22	Facility		$500.00	$800.00	$2,910.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,230.31 / $3,133.49 / $5,377.44	Professional		$2,230.31	$3,133.49	$5,377.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,478.08 / $2,478.08 / $2,702.55	Facility		$2,478.08	$2,478.08	$2,702.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,373.80 / $2,519.12 / $2,702.55	Professional		$2,373.80	$2,519.12	$2,702.55
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 $2,230.31 / $3,017.47 / $4,913.72	Professional		$2,230.31	$3,017.47	$4,913.72