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 $2,201.88 / $2,498.13 / $3,711.97	Professional		$2,201.88	$2,498.13	$3,711.97
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 $2,505.19 / $2,599.73 / $2,599.73	Professional		$2,505.19	$2,599.73	$2,599.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,847.56	Facility		$500.00	$800.00	$2,847.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,055.82 / $2,983.99 / $5,099.91	Professional		$2,055.82	$2,983.99	$5,099.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,635.14 / $5,635.14 / $5,635.14	Facility		$5,635.14	$5,635.14	$5,635.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,029.29 / $3,889.73 / $5,029.39	Professional		$3,029.29	$3,889.73	$5,029.39
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 $2,099.41 / $2,598.06 / $5,991.32	Professional		$2,099.41	$2,598.06	$5,991.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,168.19 / $2,168.19 / $2,168.19	Facility		$2,168.19	$2,168.19	$2,168.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,885.50 / $6,326.80	Professional		$7.00	$2,885.50	$6,326.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,847.56	Facility		$500.00	$800.00	$2,847.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,055.82 / $2,977.65 / $5,099.91	Professional		$2,055.82	$2,977.65	$5,099.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,030.24 / $2,447.48 / $2,447.48	Facility		$2,030.24	$2,447.48	$2,447.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,030.24 / $2,447.48 / $2,580.42	Professional		$2,030.24	$2,447.48	$2,580.42
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 $2,098.96 / $2,813.57 / $5,050.00	Professional		$2,098.96	$2,813.57	$5,050.00