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 $1,375.39 / $1,480.31 / $1,902.77	Professional		$1,375.39	$1,480.31	$1,902.77
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 $1,464.75 / $1,520.02 / $1,520.02	Professional		$1,464.75	$1,520.02	$1,520.02
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 $1,330.57 / $1,862.63 / $3,161.98	Professional		$1,330.57	$1,862.63	$3,161.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,272.05 / $3,272.05 / $3,272.05	Facility		$3,272.05	$3,272.05	$3,272.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.60 / $2,245.08 / $2,929.00	Professional		$1,760.60	$2,245.08	$2,929.00
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 $1,291.31 / $1,538.43 / $4,913.72	Professional		$1,291.31	$1,538.43	$4,913.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,152.40 / $2,152.40 / $2,152.40	Facility		$2,152.40	$2,152.40	$2,152.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,568.90 / $3,652.90	Professional		$15.00	$2,568.90	$3,652.90
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 $1,350.77 / $1,846.17 / $3,161.98	Professional		$1,350.77	$1,846.17	$3,161.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,435.48 / $1,435.48 / $1,784.33	Facility		$1,435.48	$1,435.48	$1,784.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,373.13 / $1,461.25 / $1,784.33	Professional		$1,373.13	$1,461.25	$1,784.33
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 $1,355.18 / $1,745.69 / $2,864.64	Professional		$1,355.18	$1,745.69	$2,864.64