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 / $2,374.00	Professional		$1,279.50	$1,327.79	$2,374.00
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 $1,116.98 / $1,558.99 / $2,648.56	Professional		$1,116.98	$1,558.99	$2,648.56
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 $1,352.90 / $1,352.90 / $1,352.90	Facility		$1,352.90	$1,352.90	$1,352.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,656.20 / $3,229.90	Professional		$11.00	$1,656.20	$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 $1,116.98 / $1,546.40 / $2,648.56	Professional		$1,116.98	$1,546.40	$2,648.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $995.87 / $1,091.77 / $1,251.77	Facility		$995.87	$1,091.77	$1,251.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $995.87 / $1,251.77 / $1,319.03	Professional		$995.87	$1,251.77	$1,319.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,574.00 / $3,879.00 / $8,026.00	Facility		$1,574.00	$3,879.00	$8,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.36 / $1,466.14 / $2,484.73	Professional		$1,124.36	$1,466.14	$2,484.73