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 $1,320.11 / $1,537.28 / $1,982.91	Professional		$1,320.11	$1,537.28	$1,982.91
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 $1,532.96 / $1,590.81 / $1,590.81	Professional		$1,532.96	$1,590.81	$1,590.81
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 $1,257.01 / $1,824.23 / $3,138.53	Professional		$1,257.01	$1,824.23	$3,138.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,451.01 / $3,451.01 / $3,451.01	Facility		$3,451.01	$3,451.01	$3,451.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.12 / $2,384.48 / $3,079.66	Professional		$1,844.12	$2,384.48	$3,079.66
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 $1,310.14 / $1,598.77 / $5,233.13	Professional		$1,310.14	$1,598.77	$5,233.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.30 / $1,189.30 / $1,189.30	Facility		$1,189.30	$1,189.30	$1,189.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,602.50 / $3,904.40	Professional		$6.00	$1,602.50	$3,904.40
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 $1,273.22 / $1,817.57 / $3,138.53	Professional		$1,273.22	$1,817.57	$3,138.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,177.71 / $1,502.12 / $1,502.12	Facility		$1,177.71	$1,502.12	$1,502.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,177.71 / $1,502.12 / $1,585.03	Professional		$1,177.71	$1,502.12	$1,585.03
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 $1,271.49 / $1,736.90 / $3,105.15	Professional		$1,271.49	$1,736.90	$3,105.15