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 $1,938.05 / $2,118.16 / $2,735.11	Professional		$1,938.05	$2,118.16	$2,735.11
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 $2,091.38 / $2,170.30 / $3,966.10	Professional		$2,091.38	$2,170.30	$3,966.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,385.92	Facility		$500.00	$800.00	$2,385.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.02 / $2,615.60 / $4,460.28	Professional		$1,802.02	$2,615.60	$4,460.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,629.03 / $4,629.03 / $4,629.03	Facility		$4,629.03	$4,629.03	$4,629.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,446.57 / $3,236.39 / $4,141.97	Professional		$2,446.57	$3,236.39	$4,141.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,421.00	Facility		$1,013.00	$4,761.00	$8,421.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,934.02 / $2,303.42 / $6,528.65	Professional		$1,934.02	$2,303.42	$6,528.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,304.50 / $2,304.50 / $2,304.50	Facility		$2,304.50	$2,304.50	$2,304.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.89 / $2,982.30 / $5,266.40	Professional		$1,887.89	$2,982.30	$5,266.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,385.92	Facility		$500.00	$800.00	$2,385.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.32 / $2,608.65 / $4,460.28	Professional		$1,828.32	$2,608.65	$4,460.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,055.42 / $2,055.42 / $2,121.67	Facility		$2,055.42	$2,055.42	$2,121.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,991.55 / $2,066.96 / $2,153.85	Professional		$1,991.55	$2,066.96	$2,153.85
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 $1,852.00 / $2,482.75 / $4,261.46	Professional		$1,852.00	$2,482.75	$4,261.46