Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,247.00	Facility		$1,301.00	$3,964.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,934.52 / $3,172.77 / $4,086.86	Professional		$2,934.52	$3,172.77	$4,086.86
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 $3,148.60 / $4,467.22 / $5,844.19	Professional		$3,148.60	$4,467.22	$5,844.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,584.75	Facility		$500.00	$800.00	$3,584.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,785.67 / $4,101.64 / $6,721.50	Professional		$2,785.67	$4,101.64	$6,721.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,046.42 / $7,046.42 / $7,046.42	Facility		$7,046.42	$7,046.42	$7,046.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,791.67 / $4,840.49 / $6,300.68	Professional		$3,791.67	$4,840.49	$6,300.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,421.00	Facility		$1,013.00	$4,761.00	$8,421.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,775.19 / $3,266.88 / $9,949.94	Professional		$2,775.19	$3,266.88	$9,949.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $6,331.50 / $7,866.90	Professional		$15.00	$6,331.50	$7,866.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,584.75	Facility		$500.00	$800.00	$3,584.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,785.67 / $4,031.88 / $6,721.50	Professional		$2,785.67	$4,031.88	$6,721.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,086.25 / $3,086.25 / $3,534.03	Facility		$3,086.25	$3,086.25	$3,534.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,954.98 / $3,138.75 / $3,534.03	Professional		$2,954.98	$3,138.75	$3,534.03
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 $2,863.86 / $3,907.24 / $6,428.58	Professional		$2,863.86	$3,907.24	$6,428.58