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 $2,027.20 / $2,304.91 / $2,990.65	Professional		$2,027.20	$2,304.91	$2,990.65
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 $2,305.01 / $2,391.98 / $2,391.98	Professional		$2,305.01	$2,391.98	$2,391.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,631.54	Facility		$500.00	$800.00	$2,631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,920.69 / $2,815.81 / $4,822.71	Professional		$1,920.69	$2,815.81	$4,822.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,162.91 / $5,162.91 / $5,162.91	Facility		$5,162.91	$5,162.91	$5,162.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,780.40 / $3,544.60 / $4,610.14	Professional		$2,780.40	$3,544.60	$4,610.14
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 $1,996.76 / $2,461.51 / $7,310.68	Professional		$1,996.76	$2,461.51	$7,310.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,731.30 / $1,731.30 / $1,731.30	Facility		$1,731.30	$1,731.30	$1,731.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,316.10 / $5,773.90	Professional		$7.00	$2,316.10	$5,773.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,631.54	Facility		$500.00	$800.00	$2,631.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.56 / $2,771.01 / $4,822.71	Professional		$1,976.56	$2,771.01	$4,822.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,748.78 / $2,256.62 / $2,256.62	Facility		$1,748.78	$2,256.62	$2,256.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,748.78 / $2,256.62 / $2,370.63	Professional		$1,748.78	$2,256.62	$2,370.63
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 $1,917.82 / $2,651.66 / $4,500.50	Professional		$1,917.82	$2,651.66	$4,500.50