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 $1,342.83 / $1,485.51 / $1,886.62	Professional		$1,342.83	$1,485.51	$1,886.62
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 $1,452.13 / $1,506.92 / $1,506.92	Professional		$1,452.13	$1,506.92	$1,506.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.92 / $1,749.99 / $3,087.84	Professional		$1,188.92	$1,749.99	$3,087.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,242.90 / $3,242.90 / $3,242.90	Facility		$3,242.90	$3,242.90	$3,242.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.13 / $2,224.23 / $2,903.00	Professional		$1,745.13	$2,224.23	$2,903.00
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 $1,279.42 / $1,524.06 / $4,867.52	Professional		$1,279.42	$1,524.06	$4,867.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,315.60 / $1,315.60 / $1,315.60	Facility		$1,315.60	$1,315.60	$1,315.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,728.00 / $3,617.90	Professional		$15.00	$1,728.00	$3,617.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.92 / $1,735.73 / $3,087.84	Professional		$1,188.92	$1,735.73	$3,087.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,422.97 / $1,422.97 / $1,597.51	Facility		$1,422.97	$1,422.97	$1,597.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,360.85 / $1,448.83 / $1,597.51	Professional		$1,360.85	$1,448.83	$1,597.51
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 $1,230.22 / $1,746.61 / $2,833.94	Professional		$1,230.22	$1,746.61	$2,833.94