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 $1,198.18 / $1,356.59 / $1,758.48	Professional		$1,198.18	$1,356.59	$1,758.48
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 $1,359.33 / $1,410.63 / $1,410.63	Professional		$1,359.33	$1,410.63	$1,410.63
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 $1,164.96 / $1,638.79 / $2,806.81	Professional		$1,164.96	$1,638.79	$2,806.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,051.80 / $3,051.80 / $3,051.80	Facility		$3,051.80	$3,051.80	$3,051.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.84 / $2,101.51 / $2,724.41	Professional		$1,641.84	$2,101.51	$2,724.41
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 $1,186.94 / $1,430.05 / $4,589.76	Professional		$1,186.94	$1,430.05	$4,589.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.50 / $1,223.50 / $1,223.50	Facility		$1,223.50	$1,223.50	$1,223.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,631.90 / $3,418.60	Professional		$7.00	$1,631.90	$3,418.60
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 $1,174.51 / $1,638.79 / $2,806.81	Professional		$1,174.51	$1,638.79	$2,806.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,146.74 / $1,329.12 / $1,329.12	Facility		$1,146.74	$1,329.12	$1,329.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,146.74 / $1,329.12 / $1,399.06	Professional		$1,146.74	$1,329.12	$1,399.06
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 $1,169.06 / $1,564.81 / $2,672.24	Professional		$1,169.06	$1,564.81	$2,672.24