Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.59 / $1,869.18 / $2,656.89	Professional		$1,665.59	$1,869.18	$2,656.89
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 $1,800.69 / $1,868.64 / $1,868.64	Professional		$1,800.69	$1,868.64	$1,868.64
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 $1,550.73 / $2,257.31 / $3,834.91	Professional		$1,550.73	$2,257.31	$3,834.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,974.92 / $3,974.92 / $3,974.92	Facility		$3,974.92	$3,974.92	$3,974.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,101.05 / $2,773.69 / $3,556.72	Professional		$2,101.05	$2,773.69	$3,556.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,150.92 / $2,150.92 / $2,150.92	Professional		$2,150.92	$2,150.92	$2,150.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,662.54 / $1,935.54 / $4,401.64	Professional		$1,662.54	$1,935.54	$4,401.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.40 / $1,838.40 / $1,838.40	Facility		$1,838.40	$1,838.40	$1,838.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,295.60 / $4,599.39	Professional		$7.00	$2,295.60	$4,599.39
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 $1,574.31 / $2,216.28 / $3,834.91	Professional		$1,574.31	$2,216.28	$3,834.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.10 / $1,767.24 / $1,767.24	Facility		$1,738.10	$1,767.24	$1,767.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,710.67 / $1,767.24 / $1,848.05	Professional		$1,710.67	$1,767.24	$1,848.05
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 $1,613.82 / $2,190.09 / $3,562.31	Professional		$1,613.82	$2,190.09	$3,562.31