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 $2,527.42 / $2,762.47 / $3,488.39	Professional		$2,527.42	$2,762.47	$3,488.39
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 $2,709.93 / $2,812.19 / $2,812.19	Professional		$2,709.93	$2,812.19	$2,812.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,111.12	Facility		$500.00	$800.00	$3,111.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.03 / $3,363.14 / $5,766.96	Professional		$2,344.03	$3,363.14	$5,766.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,001.19 / $6,001.19 / $6,001.19	Facility		$6,001.19	$6,001.19	$6,001.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,183.54 / $4,175.87 / $5,401.82	Professional		$3,183.54	$4,175.87	$5,401.82
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 $2,477.44 / $2,867.69 / $8,517.03	Professional		$2,477.44	$2,867.69	$8,517.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,575.10 / $2,575.10 / $2,575.10	Facility		$2,575.10	$2,575.10	$2,575.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,123.80 / $6,816.70	Professional		$8.00	$3,123.80	$6,816.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,111.12	Facility		$500.00	$800.00	$3,111.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,382.94 / $3,323.50 / $5,766.96	Professional		$2,382.94	$3,323.50	$5,766.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,420.77 / $2,657.59 / $2,657.59	Facility		$2,420.77	$2,657.59	$2,657.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,420.77 / $2,657.59 / $2,782.37	Professional		$2,420.77	$2,657.59	$2,782.37
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 $2,387.64 / $3,182.23 / $5,297.62	Professional		$2,387.64	$3,182.23	$5,297.62