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 $1,894.57 / $2,145.94 / $2,772.21	Professional		$1,894.57	$2,145.94	$2,772.21
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 $2,136.57 / $2,217.19 / $2,217.19	Professional		$2,136.57	$2,217.19	$2,217.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,436.71	Facility		$500.00	$800.00	$2,436.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.15 / $2,608.44 / $4,489.99	Professional		$1,741.15	$2,608.44	$4,489.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,801.10 / $4,801.10 / $4,801.10	Facility		$4,801.10	$4,801.10	$4,801.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,582.09 / $3,309.73 / $4,285.39	Professional		$2,582.09	$3,309.73	$4,285.39
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 $1,840.23 / $2,248.05 / $5,958.00	Professional		$1,840.23	$2,248.05	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,493.40 / $1,493.40 / $1,493.40	Facility		$1,493.40	$1,493.40	$1,493.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.40 / $1,934.10 / $4,586.89	Professional		$1,493.40	$1,934.10	$4,586.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,436.71	Facility		$500.00	$800.00	$2,436.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.13 / $2,566.73 / $4,489.99	Professional		$1,778.13	$2,566.73	$4,489.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,593.26 / $2,097.28 / $2,097.28	Facility		$1,593.26	$2,097.28	$2,097.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,593.26 / $2,097.28 / $2,209.71	Professional		$1,593.26	$2,097.28	$2,209.71
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 $1,735.29 / $2,489.39 / $4,373.54	Professional		$1,735.29	$2,489.39	$4,373.54