Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.91 / $3,839.00 / $8,113.00	Facility		$1,109.91	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.31 / $1,148.38 / $1,441.67	Professional		$1,043.31	$1,148.38	$1,441.67
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 $1,108.88 / $1,600.77 / $2,543.36	Professional		$1,108.88	$1,600.77	$2,543.36
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 $1,028.22 / $1,516.43 / $2,479.85	Professional		$1,028.22	$1,516.43	$2,479.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,476.78 / $2,476.78 / $2,476.78	Facility		$2,476.78	$2,476.78	$2,476.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.68 / $1,699.31 / $2,217.28	Professional		$1,332.68	$1,699.31	$2,217.28
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 $1,001.47 / $1,181.74 / $3,727.31	Professional		$1,001.47	$1,181.74	$3,727.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,236.50 / $1,236.50 / $1,236.50	Facility		$1,236.50	$1,236.50	$1,236.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,448.30 / $2,770.90	Professional		$12.00	$1,448.30	$2,770.90
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 $1,046.10 / $1,484.80 / $2,532.17	Professional		$1,046.10	$1,484.80	$2,532.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,087.65 / $1,087.65 / $1,308.97	Facility		$1,087.65	$1,087.65	$1,308.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.68 / $1,107.15 / $1,308.97	Professional		$1,040.68	$1,107.15	$1,308.97
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.30 / $1,434.51 / $2,235.65	Professional		$1,018.30	$1,434.51	$2,235.65