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 $2,480.89 / $2,886.93 / $3,746.21	Professional		$2,480.89	$2,886.93	$3,746.21
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 $2,899.32 / $3,008.73 / $3,008.73	Professional		$2,899.32	$3,008.73	$3,008.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,301.00	Facility		$500.00	$800.00	$3,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,471.17 / $3,517.14 / $6,114.02	Professional		$2,471.17	$3,517.14	$6,114.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,507.61 / $6,507.61 / $6,507.61	Facility		$6,507.61	$6,507.61	$6,507.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,501.55 / $4,479.54 / $5,809.37	Professional		$3,501.55	$4,479.54	$5,809.37
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 $2,417.55 / $3,002.40 / $5,958.00	Professional		$2,417.55	$3,002.40	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,014.10 / $3,014.10 / $3,014.10	Facility		$3,014.10	$3,014.10	$3,014.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,707.40 / $7,267.50	Professional		$15.00	$3,707.40	$7,267.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,301.00	Facility		$500.00	$800.00	$3,301.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,479.07 / $3,485.49 / $5,953.68	Professional		$2,479.07	$3,485.49	$5,953.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,588.78 / $2,830.88 / $2,830.88	Facility		$2,588.78	$2,830.88	$2,830.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,588.78 / $2,830.88 / $2,978.92	Professional		$2,588.78	$2,830.88	$2,978.92
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 $2,429.71 / $3,219.37 / $5,264.44	Professional		$2,429.71	$3,219.37	$5,264.44