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 $2,650.39 / $3,100.95 / $7,152.80	Professional		$2,650.39	$3,100.95	$7,152.80
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 $3,102.73 / $3,219.81 / $3,219.81	Professional		$3,102.73	$3,219.81	$3,219.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,539.93	Facility		$500.00	$800.00	$3,539.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,661.59 / $3,717.42 / $6,304.62	Professional		$2,661.59	$3,717.42	$6,304.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,952.89 / $6,952.89 / $6,952.89	Facility		$6,952.89	$6,952.89	$6,952.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,707.84 / $4,776.34 / $6,208.20	Professional		$3,707.84	$4,776.34	$6,208.20
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 $2,628.73 / $3,224.98 / $7,691.96	Professional		$2,628.73	$3,224.98	$7,691.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,953.00 / $7,777.10	Professional		$15.00	$3,953.00	$7,777.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,539.93	Facility		$500.00	$800.00	$3,539.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,662.46 / $3,702.88 / $6,304.62	Professional		$2,662.46	$3,702.88	$6,304.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,847.03 / $3,036.76 / $3,036.76	Facility		$2,847.03	$3,036.76	$3,036.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,847.03 / $3,036.76 / $3,191.44	Professional		$2,847.03	$3,036.76	$3,191.44
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 $2,643.98 / $3,478.46 / $5,770.26	Professional		$2,643.98	$3,478.46	$5,770.26