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 $1,216.76 / $1,377.41 / $1,785.47	Professional		$1,216.76	$1,377.41	$1,785.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,380.64 / $1,432.74 / $1,432.74	Professional		$1,380.64	$1,432.74	$1,432.74
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 $1,181.50 / $1,676.60 / $2,871.56	Professional		$1,181.50	$1,676.60	$2,871.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,099.52 / $3,099.52 / $3,099.52	Facility		$3,099.52	$3,099.52	$3,099.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.68 / $2,134.01 / $2,766.77	Professional		$1,667.68	$2,134.01	$2,766.77
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 $1,207.15 / $1,452.15 / $4,659.32	Professional		$1,207.15	$1,452.15	$4,659.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.09 / $1,244.09 / $1,244.09	Facility		$1,244.09	$1,244.09	$1,244.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,677.00 / $3,470.20	Professional		$7.00	$1,677.00	$3,470.20
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 $1,182.65 / $1,676.60 / $2,871.56	Professional		$1,182.65	$1,676.60	$2,871.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.08 / $1,349.54 / $1,349.54	Facility		$1,230.08	$1,349.54	$1,349.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.08 / $1,349.54 / $1,420.41	Professional		$1,230.08	$1,349.54	$1,420.41
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 $1,186.73 / $1,589.45 / $2,681.10	Professional		$1,186.73	$1,589.45	$2,681.10