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 $1,472.70 / $1,592.08 / $2,039.24	Professional		$1,472.70	$1,592.08	$2,039.24
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 $1,564.99 / $1,624.05 / $1,624.05	Professional		$1,564.99	$1,624.05	$1,624.05
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 $1,395.00 / $1,994.41 / $3,410.76	Professional		$1,395.00	$1,994.41	$3,410.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,487.22 / $3,487.22 / $3,487.22	Facility		$3,487.22	$3,487.22	$3,487.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.96 / $2,385.71 / $3,123.24	Professional		$1,877.96	$2,385.71	$3,123.24
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 $1,389.52 / $1,638.69 / $5,236.31	Professional		$1,389.52	$1,638.69	$5,236.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,420.80 / $2,420.80 / $2,420.80	Facility		$2,420.80	$2,420.80	$2,420.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,795.00 / $3,887.60	Professional		$15.00	$2,795.00	$3,887.60
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 $1,418.07 / $1,991.42 / $3,410.76	Professional		$1,418.07	$1,991.42	$3,410.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,535.84 / $1,535.84 / $1,749.96	Facility		$1,535.84	$1,535.84	$1,749.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.98 / $1,565.90 / $1,749.96	Professional		$1,466.98	$1,565.90	$1,749.96
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 $1,431.27 / $1,935.64 / $3,152.98	Professional		$1,431.27	$1,935.64	$3,152.98