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 $1,712.71 / $1,896.95 / $2,557.39	Professional		$1,712.71	$1,896.95	$2,557.39
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 $1,846.87 / $1,916.56 / $1,916.56	Professional		$1,846.87	$1,916.56	$1,916.56
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 $1,592.71 / $2,291.71 / $3,941.45	Professional		$1,592.71	$2,291.71	$3,941.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,083.81 / $4,083.81 / $4,083.81	Facility		$4,083.81	$4,083.81	$4,083.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.51 / $2,853.12 / $3,654.19	Professional		$2,158.51	$2,853.12	$3,654.19
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 $1,709.66 / $1,978.59 / $5,766.55	Professional		$1,709.66	$1,978.59	$5,766.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,807.40 / $1,807.40 / $1,807.40	Facility		$1,807.40	$1,807.40	$1,807.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,361.30 / $4,647.10	Professional		$7.00	$2,361.30	$4,647.10
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 $1,616.35 / $2,265.03 / $3,941.45	Professional		$1,616.35	$2,265.03	$3,941.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,771.10 / $1,816.34 / $1,816.34	Facility		$1,771.10	$1,816.34	$1,816.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,759.52 / $1,816.34 / $1,901.98	Professional		$1,759.52	$1,816.34	$1,901.98
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 $1,643.91 / $2,178.19 / $3,580.92	Professional		$1,643.91	$2,178.19	$3,580.92