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 $2,502.42 / $2,844.17 / $3,690.87	Professional		$2,502.42	$2,844.17	$3,690.87
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 $2,844.54 / $2,951.88 / $2,951.88	Professional		$2,844.54	$2,951.88	$2,951.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,246.98	Facility		$500.00	$800.00	$3,246.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.61 / $3,471.23 / $5,945.28	Professional		$2,438.61	$3,471.23	$5,945.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,372.09 / $6,372.09 / $6,372.09	Facility		$6,372.09	$6,372.09	$6,372.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,431.41 / $4,375.39 / $5,689.83	Professional		$3,431.41	$4,375.39	$5,689.83
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 $2,484.19 / $2,957.94 / $5,958.00	Professional		$2,484.19	$2,957.94	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,602.69 / $2,602.69 / $2,602.69	Facility		$2,602.69	$2,602.69	$2,602.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.69 / $3,517.30 / $6,010.76	Professional		$2,602.69	$3,517.30	$6,010.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,246.98	Facility		$500.00	$800.00	$3,246.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.08 / $3,419.54 / $5,945.28	Professional		$2,442.08	$3,419.54	$5,945.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,235.86 / $2,785.19 / $2,785.19	Facility		$2,235.86	$2,785.19	$2,785.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $2,785.19 / $2,926.22	Professional		$2,235.86	$2,785.19	$2,926.22
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 $2,489.39 / $3,327.58 / $5,805.90	Professional		$2,489.39	$3,327.58	$5,805.90