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 $1,409.83 / $1,554.32 / $1,969.35	Professional		$1,409.83	$1,554.32	$1,969.35
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 $1,534.38 / $1,592.28 / $1,592.28	Professional		$1,534.38	$1,592.28	$1,592.28
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 $1,319.39 / $1,883.39 / $3,252.21	Professional		$1,319.39	$1,883.39	$3,252.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,391.73 / $3,391.73 / $3,391.73	Facility		$3,391.73	$3,391.73	$3,391.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.63 / $2,369.19 / $3,034.68	Professional		$1,792.63	$2,369.19	$3,034.68
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 $1,403.08 / $1,605.06 / $5,150.01	Professional		$1,403.08	$1,605.06	$5,150.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,463.50 / $1,463.50 / $1,463.50	Facility		$1,463.50	$1,463.50	$1,463.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,907.00 / $3,838.90	Professional		$7.00	$1,907.00	$3,838.90
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 $1,339.15 / $1,879.03 / $3,252.21	Professional		$1,339.15	$1,879.03	$3,252.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,365.21 / $1,504.47 / $1,504.47	Facility		$1,365.21	$1,504.47	$1,504.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,365.21 / $1,504.47 / $1,574.81	Professional		$1,365.21	$1,504.47	$1,574.81
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 $1,345.18 / $1,795.17 / $2,995.50	Professional		$1,345.18	$1,795.17	$2,995.50