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 $1,341.61 / $1,477.08 / $1,869.67	Professional		$1,341.61	$1,477.08	$1,869.67
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 $1,444.74 / $1,499.26 / $1,499.26	Professional		$1,444.74	$1,499.26	$1,499.26
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 $1,220.44 / $1,780.08 / $3,052.26	Professional		$1,220.44	$1,780.08	$3,052.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.76 / $3,235.76 / $3,235.76	Facility		$3,235.76	$3,235.76	$3,235.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.33 / $2,227.29 / $2,895.34	Professional		$1,739.33	$2,227.29	$2,895.34
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 $1,275.79 / $1,521.50 / $4,855.97	Professional		$1,275.79	$1,521.50	$4,855.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.40 / $1,261.40 / $1,261.40	Facility		$1,261.40	$1,261.40	$1,261.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,727.30 / $3,615.00	Professional		$7.00	$1,727.30	$3,615.00
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 $1,227.52 / $1,771.85 / $3,052.26	Professional		$1,227.52	$1,771.85	$3,052.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,341.92 / $1,413.05 / $1,413.05	Facility		$1,341.92	$1,413.05	$1,413.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,341.92 / $1,413.05 / $1,485.20	Professional		$1,341.92	$1,413.05	$1,485.20
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 $1,249.73 / $1,707.62 / $2,801.44	Professional		$1,249.73	$1,707.62	$2,801.44