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 $2,025.87 / $2,295.40 / $2,965.18	Professional		$2,025.87	$2,295.40	$2,965.18
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 $2,283.90 / $2,370.08 / $2,370.08	Professional		$2,283.90	$2,370.08	$2,370.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,605.12	Facility		$500.00	$800.00	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.38 / $2,801.01 / $4,820.33	Professional		$1,900.38	$2,801.01	$4,820.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,131.68 / $5,131.68 / $5,131.68	Facility		$5,131.68	$5,131.68	$5,131.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.16 / $3,536.87 / $4,580.22	Professional		$2,760.16	$3,536.87	$4,580.22
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 $1,984.43 / $2,404.28 / $5,958.00	Professional		$1,984.43	$2,404.28	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,697.30 / $1,697.30 / $1,697.30	Facility		$1,697.30	$1,697.30	$1,697.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.30 / $2,202.19 / $4,941.10	Professional		$1,697.30	$2,202.19	$4,941.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,605.12	Facility		$500.00	$800.00	$2,605.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.70 / $2,765.79 / $4,820.33	Professional		$1,960.70	$2,765.79	$4,820.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,933.61 / $2,243.07 / $2,243.07	Facility		$1,933.61	$2,243.07	$2,243.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,933.61 / $2,243.07 / $2,363.11	Professional		$1,933.61	$2,243.07	$2,363.11
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 $1,945.95 / $2,647.10 / $4,441.72	Professional		$1,945.95	$2,647.10	$4,441.72