Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.93 / $1,657.01 / $2,139.71	Professional		$1,462.93	$1,657.01	$2,139.71
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 $1,653.52 / $1,715.91 / $1,715.91	Professional		$1,653.52	$1,715.91	$1,715.91
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 $1,409.06 / $2,005.04 / $3,426.62	Professional		$1,409.06	$2,005.04	$3,426.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,720.28 / $3,720.28 / $3,720.28	Facility		$3,720.28	$3,720.28	$3,720.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.85 / $2,568.53 / $3,320.01	Professional		$1,999.85	$2,568.53	$3,320.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,417.33 / $1,736.95 / $5,457.00	Professional		$1,417.33	$1,736.95	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.50 / $1,363.50 / $1,363.50	Facility		$1,363.50	$1,363.50	$1,363.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.50 / $1,825.30 / $4,202.00	Professional		$1,363.50	$1,825.30	$4,202.00
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 $1,413.42 / $2,000.68 / $3,426.62	Professional		$1,413.42	$2,000.68	$3,426.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,311.35 / $1,620.13 / $1,620.13	Facility		$1,311.35	$1,620.13	$1,620.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,311.35 / $1,620.13 / $1,708.67	Professional		$1,311.35	$1,620.13	$1,708.67
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 $1,418.47 / $1,917.44 / $3,180.97	Professional		$1,418.47	$1,917.44	$3,180.97