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 $3,472.26 / $3,711.46 / $4,808.63	Professional		$3,472.26	$3,711.46	$4,808.63
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 $3,698.29 / $5,325.34 / $6,967.31	Professional		$3,698.29	$5,325.34	$6,967.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,232.83	Facility		$500.00	$800.00	$4,232.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,317.48 / $4,845.00 / $8,002.95	Professional		$3,317.48	$4,845.00	$8,002.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,259.78 / $8,259.78 / $8,259.78	Facility		$8,259.78	$8,259.78	$8,259.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,443.74 / $5,667.67 / $7,395.77	Professional		$4,443.74	$5,667.67	$7,395.77
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 $3,215.72 / $3,841.64 / $7,799.00	Professional		$3,215.72	$3,841.64	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,426.10 / $9,220.90	Professional		$15.00	$7,426.10	$9,220.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,232.83	Facility		$500.00	$800.00	$4,232.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.48 / $4,795.14 / $8,002.95	Professional		$3,317.48	$4,795.14	$8,002.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,627.59 / $3,627.59 / $4,212.87	Facility		$3,627.59	$3,627.59	$4,212.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,468.92 / $3,692.85 / $4,212.87	Professional		$3,468.92	$3,692.85	$4,212.87
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 $3,370.27 / $4,635.74 / $7,497.99	Professional		$3,370.27	$4,635.74	$7,497.99