Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.13 / $3,964.00 / $8,247.00	Facility		$1,283.13	$3,964.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.08 / $1,283.13 / $1,662.05	Professional		$1,134.08	$1,283.13	$1,662.05
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 $1,285.95 / $1,334.48 / $1,334.48	Professional		$1,285.95	$1,334.48	$1,334.48
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 $1,101.15 / $1,557.30 / $2,665.41	Professional		$1,101.15	$1,557.30	$2,665.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,888.32 / $2,888.32 / $2,888.32	Facility		$2,888.32	$2,888.32	$2,888.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.66 / $1,989.92 / $2,578.21	Professional		$1,553.66	$1,989.92	$2,578.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,106.11 / $1,353.76 / $4,345.03	Professional		$1,106.11	$1,353.76	$4,345.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.70 / $1,207.70 / $1,207.70	Facility		$1,207.70	$1,207.70	$1,207.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,627.60 / $3,237.10	Professional		$11.00	$1,627.60	$3,237.10
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 $1,101.70 / $1,556.24 / $2,665.41	Professional		$1,101.70	$1,556.24	$2,665.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,256.75 / $1,256.75 / $1,333.77	Facility		$1,256.75	$1,256.75	$1,333.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,204.76 / $1,276.56 / $1,333.77	Professional		$1,204.76	$1,276.56	$1,333.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,574.00 / $3,879.00 / $7,000.00	Facility		$1,574.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.21 / $1,467.14 / $2,519.25	Professional		$1,114.21	$1,467.14	$2,519.25