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 $1,712.54 / $1,893.43 / $2,394.44	Professional		$1,712.54	$1,893.43	$2,394.44
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 $1,859.60 / $1,929.77 / $1,929.77	Professional		$1,859.60	$1,929.77	$1,929.77
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 $1,604.43 / $2,300.01 / $3,970.09	Professional		$1,604.43	$2,300.01	$3,970.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,111.53 / $4,111.53 / $4,111.53	Facility		$4,111.53	$4,111.53	$4,111.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.00 / $2,872.57 / $3,678.53	Professional		$2,173.00	$2,872.57	$3,678.53
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 $1,705.20 / $1,955.77 / $5,457.00	Professional		$1,705.20	$1,955.77	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,835.00 / $1,835.00 / $1,835.00	Facility		$1,835.00	$1,835.00	$1,835.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,377.40 / $4,680.70	Professional		$7.00	$2,377.40	$4,680.70
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 $1,628.21 / $2,280.64 / $3,970.09	Professional		$1,628.21	$2,280.64	$3,970.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,827.18 / $1,829.54 / $1,829.54	Facility		$1,827.18	$1,829.54	$1,829.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,772.25 / $1,829.54 / $1,915.75	Professional		$1,772.25	$1,829.54	$1,915.75
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 $1,681.55 / $2,246.73 / $3,681.37	Professional		$1,681.55	$2,246.73	$3,681.37