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 $1,411.63 / $1,596.61 / $2,366.15	Professional		$1,411.63	$1,596.61	$2,366.15
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 $1,599.85 / $1,660.22 / $1,660.22	Professional		$1,599.85	$1,660.22	$1,660.22
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 $1,370.41 / $1,947.65 / $3,328.79	Professional		$1,370.41	$1,947.65	$3,328.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,593.23 / $3,593.23 / $3,593.23	Facility		$3,593.23	$3,593.23	$3,593.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.85 / $2,475.53 / $3,207.52	Professional		$1,932.85	$2,475.53	$3,207.52
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 $1,393.29 / $1,685.07 / $4,536.60	Professional		$1,393.29	$1,685.07	$4,536.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,783.30 / $1,783.30 / $1,783.30	Facility		$1,783.30	$1,783.30	$1,783.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,123.60 / $4,028.10	Professional		$7.00	$2,123.60	$4,028.10
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 $1,370.41 / $1,943.56 / $3,328.79	Professional		$1,370.41	$1,943.56	$3,328.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,564.53 / $1,564.53 / $1,795.29	Facility		$1,564.53	$1,564.53	$1,795.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,589.25 / $1,795.29	Professional		$1,500.00	$1,589.25	$1,795.29
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 $1,376.26 / $1,811.46 / $3,102.55	Professional		$1,376.26	$1,811.46	$3,102.55