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 $1,247.53 / $1,412.20 / $1,831.12	Professional		$1,247.53	$1,412.20	$1,831.12
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 $1,415.18 / $1,468.59 / $1,468.59	Professional		$1,415.18	$1,468.59	$1,468.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.20 / $1,722.14 / $2,946.46	Professional		$1,208.20	$1,722.14	$2,946.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,176.75 / $3,176.75 / $3,176.75	Facility		$3,176.75	$3,176.75	$3,176.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,709.14 / $2,187.21 / $2,836.06	Professional		$1,709.14	$2,187.21	$2,836.06
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 $1,213.14 / $1,488.86 / $4,776.60	Professional		$1,213.14	$1,488.86	$4,776.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,265.09 / $1,265.09 / $1,265.09	Facility		$1,265.09	$1,265.09	$1,265.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.09 / $1,596.00 / $3,557.50	Professional		$1,265.09	$1,596.00	$3,557.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.49 / $1,720.33 / $2,946.46	Professional		$1,212.49	$1,720.33	$2,946.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,295.34 / $1,383.95 / $1,383.95	Facility		$1,295.34	$1,383.95	$1,383.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,295.34 / $1,383.95 / $1,456.60	Professional		$1,295.34	$1,383.95	$1,456.60
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 $1,206.38 / $1,650.40 / $2,914.77	Professional		$1,206.38	$1,650.40	$2,914.77