Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,247.00	Facility		$1,301.00	$3,964.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.03 / $1,805.81 / $2,340.65	Professional		$1,594.03	$1,805.81	$2,340.65
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 $1,808.14 / $1,876.37 / $1,876.37	Professional		$1,808.14	$1,876.37	$1,876.37
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 $1,550.44 / $2,191.92 / $3,754.18	Professional		$1,550.44	$2,191.92	$3,754.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,057.94 / $4,057.94 / $4,057.94	Facility		$4,057.94	$4,057.94	$4,057.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.53 / $2,792.93 / $3,622.66	Professional		$2,183.53	$2,792.93	$3,622.66
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 $1,556.81 / $1,902.20 / $5,457.00	Professional		$1,556.81	$1,902.20	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,648.00 / $1,648.00 / $1,648.00	Facility		$1,648.00	$1,648.00	$1,648.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.00 / $2,175.30 / $4,546.60	Professional		$1,648.00	$2,175.30	$4,546.60
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 $1,563.33 / $2,172.78 / $3,754.18	Professional		$1,563.33	$2,172.78	$3,754.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,583.70 / $1,768.79 / $1,768.79	Facility		$1,583.70	$1,768.79	$1,768.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,583.70 / $1,768.79 / $1,861.26	Professional		$1,583.70	$1,768.79	$1,861.26
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 $1,549.08 / $2,045.59 / $3,512.28	Professional		$1,549.08	$2,045.59	$3,512.28