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 $2,168.96 / $2,462.29 / $3,194.30	Professional		$2,168.96	$2,462.29	$3,194.30
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 $2,464.94 / $2,557.96 / $2,557.96	Professional		$2,464.94	$2,557.96	$2,557.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,810.59	Facility		$500.00	$800.00	$2,810.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,109.78 / $3,001.67 / $5,141.05	Professional		$2,109.78	$3,001.67	$5,141.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,525.39 / $5,525.39 / $5,525.39	Facility		$5,525.39	$5,525.39	$5,525.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,974.81 / $3,796.87 / $4,933.08	Professional		$2,974.81	$3,796.87	$4,933.08
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 $2,131.96 / $2,583.76 / $5,958.00	Professional		$2,131.96	$2,583.76	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.80 / $2,263.80 / $2,263.80	Facility		$2,263.80	$2,263.80	$2,263.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.80 / $3,059.70 / $5,206.80	Professional		$2,263.80	$3,059.70	$5,206.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,810.59	Facility		$500.00	$800.00	$2,810.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.11 / $2,962.77 / $5,141.05	Professional		$2,114.11	$2,962.77	$5,141.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,943.97 / $2,411.60 / $2,411.60	Facility		$1,943.97	$2,411.60	$2,411.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,943.97 / $2,411.60 / $2,535.01	Professional		$1,943.97	$2,411.60	$2,535.01
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 $2,097.57 / $2,881.71 / $4,760.42	Professional		$2,097.57	$2,881.71	$4,760.42