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 $2,085.01 / $2,296.46 / $2,884.91	Professional		$2,085.01	$2,296.46	$2,884.91
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 $2,220.69 / $2,304.48 / $2,304.48	Professional		$2,220.69	$2,304.48	$2,304.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,543.44	Facility		$500.00	$800.00	$2,543.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.35 / $2,758.72 / $4,721.72	Professional		$1,933.35	$2,758.72	$4,721.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,958.21 / $4,958.21 / $4,958.21	Facility		$4,958.21	$4,958.21	$4,958.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,667.97 / $3,400.67 / $4,439.49	Professional		$2,667.97	$3,400.67	$4,439.49
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 $1,956.66 / $2,360.44 / $5,958.00	Professional		$1,956.66	$2,360.44	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,194.00 / $2,194.00 / $2,194.00	Facility		$2,194.00	$2,194.00	$2,194.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,814.50 / $5,531.40	Professional		$15.00	$2,814.50	$5,531.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,543.44	Facility		$500.00	$800.00	$2,543.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.35 / $2,729.43 / $4,721.72	Professional		$1,958.35	$2,729.43	$4,721.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,175.91 / $2,175.91 / $2,178.78	Facility		$2,175.91	$2,175.91	$2,178.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,081.16 / $2,178.78 / $2,281.21	Professional		$2,081.16	$2,178.78	$2,281.21
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 $1,990.24 / $2,649.54 / $4,337.67	Professional		$1,990.24	$2,649.54	$4,337.67