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 $1,344.56 / $1,523.58 / $1,976.05	Professional		$1,344.56	$1,523.58	$1,976.05
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 $1,525.93 / $1,583.52 / $1,583.52	Professional		$1,525.93	$1,583.52	$1,583.52
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 $1,304.17 / $1,856.08 / $3,175.59	Professional		$1,304.17	$1,856.08	$3,175.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,423.59 / $3,423.59 / $3,423.59	Facility		$3,423.59	$3,423.59	$3,423.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.40 / $2,355.53 / $3,056.51	Professional		$1,842.40	$2,355.53	$3,056.51
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 $1,331.70 / $1,599.73 / $5,148.03	Professional		$1,331.70	$1,599.73	$5,148.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,227.00	Facility		$1,227.00	$1,227.00	$1,227.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,599.20 / $3,833.00	Professional		$7.00	$1,599.20	$3,833.00
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 $1,308.11 / $1,854.11 / $3,175.59	Professional		$1,308.11	$1,854.11	$3,175.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,257.65 / $1,492.89 / $1,492.89	Facility		$1,257.65	$1,492.89	$1,492.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,257.65 / $1,492.89 / $1,570.56	Professional		$1,257.65	$1,492.89	$1,570.56
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 $1,301.30 / $1,761.06 / $2,966.32	Professional		$1,301.30	$1,761.06	$2,966.32