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 $1,338.02 / $1,426.15 / $1,850.45	Professional		$1,338.02	$1,426.15	$1,850.45
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 $1,427.40 / $1,481.26 / $1,481.26	Professional		$1,427.40	$1,481.26	$1,481.26
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 $1,244.38 / $1,762.46 / $3,029.69	Professional		$1,244.38	$1,762.46	$3,029.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,192.46 / $3,192.46 / $3,192.46	Facility		$3,192.46	$3,192.46	$3,192.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.86 / $2,193.92 / $2,857.41	Professional		$1,716.86	$2,193.92	$2,857.41
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 $1,287.21 / $1,519.67 / $4,573.00	Professional		$1,287.21	$1,519.67	$4,573.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.60 / $1,345.60 / $1,345.60	Facility		$1,345.60	$1,345.60	$1,345.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,727.40 / $3,564.30	Professional		$15.00	$1,727.40	$3,564.30
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 $1,252.17 / $1,750.57 / $3,029.69	Professional		$1,252.17	$1,750.57	$3,029.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,324.26 / $1,397.26 / $1,397.26	Facility		$1,324.26	$1,397.26	$1,397.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,324.26 / $1,397.26 / $1,466.93	Professional		$1,324.26	$1,397.26	$1,466.93
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 $1,252.17 / $1,697.92 / $2,910.73	Professional		$1,252.17	$1,697.92	$2,910.73