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 $1,345.05 / $1,484.78 / $1,858.72	Professional		$1,345.05	$1,484.78	$1,858.72
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 $1,429.30 / $2,071.44 / $3,210.99	Professional		$1,429.30	$2,071.44	$3,210.99
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 $1,291.19 / $1,953.68 / $3,196.59	Professional		$1,291.19	$1,953.68	$3,196.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,191.41 / $3,191.41 / $3,191.41	Facility		$3,191.41	$3,191.41	$3,191.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.37 / $2,188.78 / $2,857.28	Professional		$1,717.37	$2,188.78	$2,857.28
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 $1,284.85 / $1,502.02 / $4,802.51	Professional		$1,284.85	$1,502.02	$4,802.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,632.70 / $1,632.70 / $1,632.70	Facility		$1,632.70	$1,632.70	$1,632.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,921.60 / $3,569.70	Professional		$12.00	$1,921.60	$3,569.70
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 $1,291.19 / $1,906.06 / $3,278.92	Professional		$1,291.19	$1,906.06	$3,278.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,402.01 / $1,402.01 / $1,647.72	Facility		$1,402.01	$1,402.01	$1,647.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,341.14 / $1,427.41 / $1,647.72	Professional		$1,341.14	$1,427.41	$1,647.72
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 $1,328.02 / $1,812.72 / $2,963.09	Professional		$1,328.02	$1,812.72	$2,963.09