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 $1,901.80 / $2,161.48 / $2,796.17	Professional		$1,901.80	$2,161.48	$2,796.17
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 $2,170.90 / $2,252.82 / $2,252.82	Professional		$2,170.90	$2,252.82	$2,252.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,462.84	Facility		$500.00	$800.00	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.40 / $2,577.17 / $4,461.72	Professional		$1,757.40	$2,577.17	$4,461.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,889.66 / $4,889.66 / $4,889.66	Facility		$4,889.66	$4,889.66	$4,889.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,627.36 / $3,380.30 / $4,362.83	Professional		$2,627.36	$3,380.30	$4,362.83
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 $1,774.36 / $2,271.69 / $5,958.00	Professional		$1,774.36	$2,271.69	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $1,644.00 / $1,644.00	Facility		$1,644.00	$1,644.00	$1,644.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,080.80 / $5,491.90	Professional		$7.00	$2,080.80	$5,491.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,462.84	Facility		$500.00	$800.00	$2,462.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.38 / $2,563.48 / $4,461.72	Professional		$1,762.38	$2,563.48	$4,461.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,669.74 / $2,118.58 / $2,118.58	Facility		$1,669.74	$2,118.58	$2,118.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,669.74 / $2,118.58 / $2,236.05	Professional		$1,669.74	$2,118.58	$2,236.05
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 $1,760.30 / $2,426.82 / $4,183.56	Professional		$1,760.30	$2,426.82	$4,183.56