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 $1,941.02 / $2,280.25 / $2,950.29	Professional		$1,941.02	$2,280.25	$2,950.29
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 $2,289.30 / $2,375.69 / $2,375.69	Professional		$2,289.30	$2,375.69	$2,375.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,598.36	Facility		$500.00	$800.00	$2,598.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.03 / $2,696.68 / $4,653.57	Professional		$1,877.03	$2,696.68	$4,653.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,153.64 / $5,153.64 / $5,153.64	Facility		$5,153.64	$5,153.64	$5,153.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,699.53 / $3,560.29 / $4,598.49	Professional		$2,699.53	$3,560.29	$4,598.49
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 $1,889.67 / $2,395.69 / $5,958.00	Professional		$1,889.67	$2,395.69	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,883.70 / $1,883.70 / $1,883.70	Facility		$1,883.70	$1,883.70	$1,883.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,352.69 / $5,785.60	Professional		$7.00	$2,352.69	$5,785.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,598.36	Facility		$500.00	$800.00	$2,598.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.03 / $2,689.86 / $4,604.35	Professional		$1,877.03	$2,689.86	$4,604.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,799.00 / $2,234.44 / $2,234.44	Facility		$1,799.00	$2,234.44	$2,234.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,799.00 / $2,234.44 / $2,357.25	Professional		$1,799.00	$2,234.44	$2,357.25
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 $1,865.22 / $2,542.14 / $4,364.87	Professional		$1,865.22	$2,542.14	$4,364.87