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 $1,298.38 / $1,467.99 / $1,894.57	Professional		$1,298.38	$1,467.99	$1,894.57
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 $1,464.10 / $1,519.35 / $1,519.35	Professional		$1,464.10	$1,519.35	$1,519.35
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 $1,234.69 / $1,758.36 / $3,039.37	Professional		$1,234.69	$1,758.36	$3,039.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,294.40 / $3,294.40 / $3,294.40	Facility		$3,294.40	$3,294.40	$3,294.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.85 / $2,274.73 / $2,939.92	Professional		$1,770.85	$2,274.73	$2,939.92
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 $1,233.78 / $1,544.00 / $4,992.27	Professional		$1,233.78	$1,544.00	$4,992.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.00 / $1,219.00 / $1,219.00	Facility		$1,219.00	$1,219.00	$1,219.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,650.40 / $3,723.70	Professional		$6.00	$1,650.40	$3,723.70
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 $1,234.69 / $1,754.24 / $3,039.37	Professional		$1,234.69	$1,754.24	$3,039.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,259.68 / $1,434.62 / $1,434.62	Facility		$1,259.68	$1,434.62	$1,434.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,259.68 / $1,434.62 / $1,513.14	Professional		$1,259.68	$1,434.62	$1,513.14
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 $1,236.00 / $1,661.90 / $2,825.20	Professional		$1,236.00	$1,661.90	$2,825.20