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 $1,972.08 / $2,233.76 / $2,889.29	Professional		$1,972.08	$2,233.76	$2,889.29
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 $2,227.44 / $2,311.50 / $4,145.08	Professional		$2,227.44	$2,311.50	$4,145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,540.38	Facility		$500.00	$800.00	$2,540.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,944.44 / $2,745.29 / $4,701.93	Professional		$1,944.44	$2,745.29	$4,701.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,003.18 / $5,003.18 / $5,003.18	Facility		$5,003.18	$5,003.18	$5,003.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.18 / $3,447.27 / $4,466.12	Professional		$2,691.18	$3,447.27	$4,466.12
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 $1,867.80 / $2,341.90 / $5,958.00	Professional		$1,867.80	$2,341.90	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.80 / $2,122.80 / $2,122.80	Facility		$2,122.80	$2,122.80	$2,122.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.80 / $2,524.60 / $4,761.50	Professional		$2,122.80	$2,524.60	$4,761.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,540.38	Facility		$500.00	$800.00	$2,540.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.43 / $2,717.15 / $4,701.93	Professional		$1,948.43	$2,717.15	$4,701.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,951.85 / $2,185.00 / $2,185.00	Facility		$1,951.85	$2,185.00	$2,185.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,951.85 / $2,185.00 / $2,301.23	Professional		$1,951.85	$2,185.00	$2,301.23
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 $1,957.44 / $2,544.67 / $4,367.33	Professional		$1,957.44	$2,544.67	$4,367.33