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 $3,052.85 / $3,525.41 / $4,568.57	Professional		$3,052.85	$3,525.41	$4,568.57
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 $3,531.21 / $3,664.46 / $3,664.46	Professional		$3,531.21	$3,664.46	$3,664.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,019.92	Facility		$500.00	$800.00	$4,019.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,959.39 / $4,230.49 / $7,177.64	Professional		$2,959.39	$4,230.49	$7,177.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,926.58 / $7,926.58 / $7,926.58	Facility		$7,926.58	$7,926.58	$7,926.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.14 / $5,456.47 / $7,075.59	Professional		$4,265.14	$5,456.47	$7,075.59
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 $3,000.52 / $3,666.43 / $7,147.48	Professional		$3,000.52	$3,666.43	$7,147.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,300.90 / $2,300.90 / $2,300.90	Facility		$2,300.90	$2,300.90	$2,300.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,118.60 / $8,879.90	Professional		$7.00	$3,118.60	$8,879.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,019.92	Facility		$500.00	$800.00	$4,019.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.30 / $4,177.76 / $7,177.64	Professional		$2,989.30	$4,177.76	$7,177.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,452.69 / $3,452.69 / $3,452.69	Facility		$3,452.69	$3,452.69	$3,452.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,307.94 / $3,508.84 / $3,633.68	Professional		$3,307.94	$3,508.84	$3,633.68
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 $2,878.29 / $4,001.72 / $7,169.10	Professional		$2,878.29	$4,001.72	$7,169.10