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 $1,246.11 / $1,394.53 / $1,808.65	Professional		$1,246.11	$1,394.53	$1,808.65
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 $1,397.96 / $1,450.71 / $1,450.71	Professional		$1,397.96	$1,450.71	$1,450.71
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 $1,192.82 / $1,698.84 / $2,908.34	Professional		$1,192.82	$1,698.84	$2,908.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,138.16 / $3,138.16 / $3,138.16	Facility		$3,138.16	$3,138.16	$3,138.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.51 / $2,160.44 / $2,801.34	Professional		$1,688.51	$2,160.44	$2,801.34
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 $1,232.14 / $1,470.48 / $4,716.60	Professional		$1,232.14	$1,470.48	$4,716.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.20 / $1,254.20 / $1,254.20	Facility		$1,254.20	$1,254.20	$1,254.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,685.30 / $3,512.80	Professional		$7.00	$1,685.30	$3,512.80
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 $1,197.13 / $1,698.07 / $2,908.34	Professional		$1,197.13	$1,698.07	$2,908.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,150.40 / $1,366.94 / $1,366.94	Facility		$1,150.40	$1,366.94	$1,366.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,150.40 / $1,366.94 / $1,438.66	Professional		$1,150.40	$1,366.94	$1,438.66
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 $1,215.08 / $1,640.85 / $2,715.78	Professional		$1,215.08	$1,640.85	$2,715.78