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 $1,433.50 / $1,599.95 / $1,981.50	Professional		$1,433.50	$1,599.95	$1,981.50
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 $1,523.19 / $2,207.83 / $3,502.20	Professional		$1,523.19	$2,207.83	$3,502.20
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 $1,376.66 / $2,082.94 / $3,419.17	Professional		$1,376.66	$2,082.94	$3,419.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,400.13 / $3,400.13 / $3,400.13	Facility		$3,400.13	$3,400.13	$3,400.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.00 / $2,330.89 / $3,044.03	Professional		$1,830.00	$2,330.89	$3,044.03
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 $1,344.71 / $1,622.68 / $5,115.09	Professional		$1,344.71	$1,622.68	$5,115.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $3,167.00 / $3,801.40	Professional		$12.00	$3,167.00	$3,801.40
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 $1,376.66 / $2,080.21 / $3,518.15	Professional		$1,376.66	$2,080.21	$3,518.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.32 / $1,494.32 / $1,805.94	Facility		$1,494.32	$1,494.32	$1,805.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,428.89 / $1,521.69 / $1,805.94	Professional		$1,428.89	$1,521.69	$1,805.94
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,113.00 / $6,228.00	Facility		$400.00	$2,113.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.39 / $1,928.44 / $3,064.72	Professional		$1,435.39	$1,928.44	$3,064.72