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 $1,632.34 / $1,813.88 / $2,271.03	Professional		$1,632.34	$1,813.88	$2,271.03
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 $1,765.88 / $1,832.51 / $1,832.51	Professional		$1,765.88	$1,832.51	$1,832.51
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 $1,521.92 / $2,168.77 / $3,769.03	Professional		$1,521.92	$2,168.77	$3,769.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,912.64 / $3,912.64 / $3,912.64	Facility		$3,912.64	$3,912.64	$3,912.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,067.79 / $2,737.72 / $3,500.71	Professional		$2,067.79	$2,737.72	$3,500.71
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 $1,610.74 / $1,859.84 / $5,523.72	Professional		$1,610.74	$1,859.84	$5,523.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,753.10 / $1,753.10 / $1,753.10	Facility		$1,753.10	$1,753.10	$1,753.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,265.80 / $4,461.80	Professional		$7.00	$2,265.80	$4,461.80
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 $1,543.86 / $2,165.69 / $3,769.03	Professional		$1,543.86	$2,165.69	$3,769.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,522.92 / $1,736.88 / $1,736.88	Facility		$1,522.92	$1,736.88	$1,736.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,522.92 / $1,736.88 / $1,821.55	Professional		$1,522.92	$1,736.88	$1,821.55
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 $1,551.80 / $2,065.73 / $3,571.31	Professional		$1,551.80	$2,065.73	$3,571.31