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 $1,157.50 / $1,309.72 / $1,697.80	Professional		$1,157.50	$1,309.72	$1,697.80
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 $1,313.38 / $1,362.94 / $1,362.94	Professional		$1,313.38	$1,362.94	$1,362.94
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 $1,120.26 / $1,591.90 / $2,726.48	Professional		$1,120.26	$1,591.90	$2,726.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,949.45 / $2,949.45 / $2,949.45	Facility		$2,949.45	$2,949.45	$2,949.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.91 / $2,031.16 / $2,632.38	Professional		$1,586.91	$2,031.16	$2,632.38
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 $1,134.81 / $1,381.57 / $4,432.57	Professional		$1,134.81	$1,381.57	$4,432.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.80 / $1,070.80 / $1,070.80	Facility		$1,070.80	$1,070.80	$1,070.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,458.50 / $3,301.80	Professional		$7.00	$1,458.50	$3,301.80
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 $1,124.55 / $1,591.90 / $2,726.48	Professional		$1,124.55	$1,591.90	$2,726.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $1,283.47 / $1,283.47	Facility		$1,210.00	$1,283.47	$1,283.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.00 / $1,283.47 / $1,351.17	Professional		$1,210.00	$1,283.47	$1,351.17
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 $1,116.51 / $1,517.68 / $2,616.34	Professional		$1,116.51	$1,517.68	$2,616.34