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 $1,504.35 / $1,706.91 / $2,213.17	Professional		$1,504.35	$1,706.91	$2,213.17
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 $1,708.15 / $1,772.61 / $1,772.61	Professional		$1,708.15	$1,772.61	$1,772.61
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 $1,465.75 / $2,079.32 / $3,561.31	Professional		$1,465.75	$2,079.32	$3,561.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,830.15 / $3,830.15 / $3,830.15	Facility		$3,830.15	$3,830.15	$3,830.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.48 / $2,633.68 / $3,420.12	Professional		$2,061.48	$2,633.68	$3,420.12
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 $1,495.19 / $1,775.18 / $5,457.00	Professional		$1,495.19	$1,775.18	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.80 / $1,489.80 / $1,489.80	Facility		$1,489.80	$1,489.80	$1,489.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,994.40 / $4,288.39	Professional		$7.00	$1,994.40	$4,288.39
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 $1,468.31 / $2,078.34 / $3,561.31	Professional		$1,468.31	$2,078.34	$3,561.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,502.28 / $1,671.43 / $1,671.43	Facility		$1,502.28	$1,671.43	$1,671.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,502.28 / $1,671.43 / $1,757.58	Professional		$1,502.28	$1,671.43	$1,757.58
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 $1,466.66 / $1,981.75 / $3,474.87	Professional		$1,466.66	$1,981.75	$3,474.87