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 $1,957.57 / $2,237.67 / $3,646.50	Professional		$1,957.57	$2,237.67	$3,646.50
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 $2,116.92 / $2,196.81 / $2,196.81	Professional		$2,116.92	$2,196.81	$2,196.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,354.05	Facility		$500.00	$800.00	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.30 / $2,528.90 / $4,649.00	Professional		$1,418.30	$2,528.90	$4,649.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,579.64 / $2,579.64 / $2,579.64	Facility		$2,579.64	$2,579.64	$2,579.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.82 / $1,663.25 / $3,411.81	Professional		$1,289.82	$1,663.25	$3,411.81
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 $1,544.00 / $2,187.87 / $3,775.20	Professional		$1,544.00	$2,187.87	$3,775.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $1,547.00 / $1,547.00	Facility		$1,547.00	$1,547.00	$1,547.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,547.00 / $1,547.00	Professional		$15.00	$1,547.00	$1,547.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,354.05	Facility		$500.00	$800.00	$2,354.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $2,469.78 / $4,424.71	Professional		$540.00	$2,469.78	$4,424.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,297.04 / $2,069.92 / $2,069.92	Facility		$1,297.04	$2,069.92	$2,069.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.84 / $2,069.92 / $2,344.73	Professional		$1,004.84	$2,069.92	$2,344.73
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 $1,771.33 / $2,389.81 / $3,942.99	Professional		$1,771.33	$2,389.81	$3,942.99