Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,987.43 / $8,113.00	Facility		$1,301.00	$3,987.43	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,360.13 / $3,799.44 / $4,881.00	Professional		$3,360.13	$3,799.44	$4,881.00
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 $3,749.73 / $3,891.23 / $3,891.23	Professional		$3,749.73	$3,891.23	$3,891.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,297.76	Facility		$500.00	$800.00	$4,297.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.77 / $4,450.74 / $7,981.91	Professional		$2,234.77	$4,450.74	$7,981.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,362.58 / $8,362.58 / $8,362.58	Facility		$8,362.58	$8,362.58	$8,362.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,502.06 / $5,727.05 / $7,488.58	Professional		$4,502.06	$5,727.05	$7,488.58
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 $3,301.61 / $3,930.90 / $7,061.31	Professional		$3,301.61	$3,930.90	$7,061.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,177.30 / $2,177.30 / $2,177.30	Facility		$2,177.30	$2,177.30	$2,177.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,911.80 / $9,326.29	Professional		$15.00	$2,911.80	$9,326.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,297.76	Facility		$500.00	$800.00	$4,297.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,154.28 / $4,421.85 / $7,981.91	Professional		$2,154.28	$4,421.85	$7,981.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,678.30 / $3,678.30 / $3,831.75	Facility		$3,678.30	$3,678.30	$3,831.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,514.35 / $3,748.17 / $3,852.69	Professional		$3,514.35	$3,748.17	$3,852.69
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 $2,967.61 / $4,299.24 / $7,331.98	Professional		$2,967.61	$4,299.24	$7,331.98