Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,748.00 / $8,017.00	Facility		$1,119.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.79 / $1,277.55 / $1,654.53	Professional		$1,130.79	$1,277.55	$1,654.53
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 $1,279.50 / $1,327.79 / $2,368.52	Professional		$1,279.50	$1,327.79	$2,368.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.70 / $1,558.99 / $2,661.60	Professional		$1,116.70	$1,558.99	$2,661.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,876.14 / $2,876.14 / $2,876.14	Facility		$2,876.14	$2,876.14	$2,876.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.70 / $1,983.37 / $2,566.91	Professional		$1,546.70	$1,983.37	$2,566.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,964.00 / $8,017.00	Facility		$1,020.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,068.00 / $1,354.89 / $4,333.32	Professional		$1,068.00	$1,354.89	$4,333.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,291.09 / $1,291.09 / $1,291.09	Facility		$1,291.09	$1,291.09	$1,291.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,641.50 / $3,229.90	Professional		$11.00	$1,641.50	$3,229.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.70 / $1,554.01 / $2,661.60	Professional		$1,116.70	$1,554.01	$2,661.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $995.59 / $1,085.94 / $1,251.77	Facility		$995.59	$1,085.94	$1,251.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $995.59 / $1,251.77 / $1,319.03	Professional		$995.59	$1,251.77	$1,319.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $3,331.00 / $6,423.00	Facility		$1,273.00	$3,331.00	$6,423.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.29 / $1,447.95 / $2,457.17	Professional		$1,115.29	$1,447.95	$2,457.17