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 $1,405.48 / $1,525.40 / $1,971.61	Professional		$1,405.48	$1,525.40	$1,971.61
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 $1,522.21 / $1,579.66 / $1,579.66	Professional		$1,522.21	$1,579.66	$1,579.66
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 $1,300.99 / $1,858.95 / $3,183.88	Professional		$1,300.99	$1,858.95	$3,183.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,415.48 / $3,415.48 / $3,415.48	Facility		$3,415.48	$3,415.48	$3,415.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.01 / $2,350.07 / $3,049.15	Professional		$1,838.01	$2,350.07	$3,049.15
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 $1,341.42 / $1,600.64 / $5,135.97	Professional		$1,341.42	$1,600.64	$5,135.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.09 / $1,211.09 / $1,211.09	Facility		$1,211.09	$1,211.09	$1,211.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,631.60 / $3,824.20	Professional		$15.00	$1,631.60	$3,824.20
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 $1,313.35 / $1,842.03 / $3,183.88	Professional		$1,313.35	$1,842.03	$3,183.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,181.78 / $1,489.53 / $1,489.53	Facility		$1,181.78	$1,489.53	$1,489.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,181.78 / $1,489.53 / $1,567.13	Professional		$1,181.78	$1,489.53	$1,567.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $4,563.00 / $7,000.00	Facility		$1,822.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.83 / $1,799.90 / $3,090.13	Professional		$1,276.83	$1,799.90	$3,090.13