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 $1,661.64 / $1,980.93 / $2,562.02	Professional		$1,661.64	$1,980.93	$2,562.02
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 $1,990.23 / $2,065.34 / $2,065.34	Professional		$1,990.23	$2,065.34	$2,065.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,256.13	Facility		$500.00	$800.00	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.11 / $2,334.19 / $4,046.84	Professional		$1,582.11	$2,334.19	$4,046.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,485.64 / $4,485.64 / $4,485.64	Facility		$4,485.64	$4,485.64	$4,485.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.62 / $3,103.80 / $4,002.30	Professional		$2,349.62	$3,103.80	$4,002.30
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 $1,633.14 / $2,082.77 / $5,612.52	Professional		$1,633.14	$2,082.77	$5,612.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility		$1,554.50	$1,554.50	$1,554.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,993.70 / $5,042.00	Professional		$7.00	$1,993.70	$5,042.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,256.13	Facility		$500.00	$800.00	$2,256.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.11 / $2,308.21 / $4,046.84	Professional		$1,582.11	$2,308.21	$4,046.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,469.31 / $1,942.16 / $1,942.16	Facility		$1,469.31	$1,942.16	$1,942.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,469.31 / $1,942.16 / $2,051.07	Professional		$1,469.31	$1,942.16	$2,051.07
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.97 / $2,231.87 / $3,832.12	Professional		$1,595.97	$2,231.87	$3,832.12