Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,748.00 / $8,017.00	Facility		$1,119.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.69 / $2,216.75 / $2,864.12	Professional		$1,909.69	$2,216.75	$2,864.12
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 $2,207.75 / $2,291.06 / $4,143.71	Professional		$2,207.75	$2,291.06	$4,143.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,515.92	Facility		$500.00	$800.00	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.28 / $2,627.07 / $4,516.66	Professional		$1,903.28	$2,627.07	$4,516.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,958.58 / $4,958.58 / $4,958.58	Facility		$4,958.58	$4,958.58	$4,958.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.35 / $3,415.90 / $4,426.02	Professional		$2,597.35	$3,415.90	$4,426.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,964.00 / $8,017.00	Facility		$1,020.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $2,305.42 / $5,823.00	Professional		$1,200.00	$2,305.42	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,956.30 / $5,596.50	Professional		$6.00	$3,956.30	$5,596.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,515.92	Facility		$500.00	$800.00	$2,515.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.08 / $2,620.67 / $4,516.66	Professional		$1,931.08	$2,620.67	$4,516.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,727.16 / $1,964.53 / $2,165.84	Facility		$1,727.16	$1,964.53	$2,165.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,727.16 / $2,165.84 / $2,280.85	Professional		$1,727.16	$2,165.84	$2,280.85
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 $1,906.84 / $2,523.85 / $4,285.88	Professional		$1,906.84	$2,523.85	$4,285.88