Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,713.70 / $8,113.00	Facility		$1,301.00	$4,713.70	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,942.03 / $4,612.34 / $5,777.75	Professional		$3,942.03	$4,612.34	$5,777.75
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 $4,431.43 / $4,598.64 / $4,598.64	Professional		$4,431.43	$4,598.64	$4,598.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,083.51	Facility		$500.00	$800.00	$5,083.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.98 / $5,264.43 / $9,441.17	Professional		$2,612.98	$5,264.43	$9,441.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,872.23 / $9,872.23 / $9,872.23	Facility		$9,872.23	$9,872.23	$9,872.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,316.92 / $6,752.10 / $8,842.12	Professional		$5,316.92	$6,752.10	$8,842.12
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 $3,873.15 / $4,640.10 / $7,956.95	Professional		$3,873.15	$4,640.10	$7,956.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,575.40 / $2,575.40 / $2,575.40	Facility		$2,575.40	$2,575.40	$2,575.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,448.50 / $11,005.50	Professional		$15.00	$3,448.50	$11,005.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,083.51	Facility		$500.00	$800.00	$5,083.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,503.17 / $5,264.21 / $9,441.17	Professional		$2,503.17	$5,264.21	$9,441.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,350.77 / $4,350.77 / $4,542.89	Facility		$4,350.77	$4,350.77	$4,542.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,153.64 / $4,436.59 / $4,553.08	Professional		$4,153.64	$4,436.59	$4,553.08
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 $3,018.73 / $5,118.12 / $8,730.20	Professional		$3,018.73	$5,118.12	$8,730.20