Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.93 / $3,839.00 / $8,113.00	Facility		$1,273.93	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.41 / $1,273.93 / $1,646.46	Professional		$1,083.41	$1,273.93	$1,646.46
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 $1,274.64 / $1,322.74 / $1,322.74	Professional		$1,274.64	$1,322.74	$1,322.74
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 $1,057.08 / $1,508.25 / $2,598.90	Professional		$1,057.08	$1,508.25	$2,598.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,867.51 / $2,867.51 / $2,867.51	Facility		$2,867.51	$2,867.51	$2,867.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.03 / $1,979.69 / $2,559.25	Professional		$1,502.03	$1,979.69	$2,559.25
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 $1,076.84 / $1,346.96 / $4,329.14	Professional		$1,076.84	$1,346.96	$4,329.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.30 / $1,040.30 / $1,040.30	Facility		$1,040.30	$1,040.30	$1,040.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,375.20 / $3,228.40	Professional		$6.00	$1,375.20	$3,228.40
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 $1,062.42 / $1,508.25 / $2,508.08	Professional		$1,062.42	$1,508.25	$2,508.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,011.37 / $1,246.49 / $1,246.49	Facility		$1,011.37	$1,246.49	$1,246.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,011.37 / $1,246.49 / $1,314.40	Professional		$1,011.37	$1,246.49	$1,314.40
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 $1,064.02 / $1,433.63 / $2,440.67	Professional		$1,064.02	$1,433.63	$2,440.67