Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,153.99 / $8,113.00	Facility		$1,301.00	$4,153.99	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.18 / $3,884.26 / $5,034.05	Professional		$3,398.18	$3,884.26	$5,034.05
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 $3,888.09 / $4,034.81 / $4,034.81	Professional		$3,888.09	$4,034.81	$4,034.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,429.10	Facility		$500.00	$800.00	$4,429.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,259.31 / $4,615.09 / $7,905.44	Professional		$3,259.31	$4,615.09	$7,905.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,723.61 / $8,723.61 / $8,723.61	Facility		$8,723.61	$8,723.61	$8,723.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,569.51 / $6,002.04 / $7,787.96	Professional		$4,569.51	$6,002.04	$7,787.96
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 $3,085.80 / $4,039.63 / $7,318.93	Professional		$3,085.80	$4,039.63	$7,318.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,624.70 / $2,624.70 / $2,624.70	Facility		$2,624.70	$2,624.70	$2,624.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,521.60 / $9,773.20	Professional		$7.00	$3,521.60	$9,773.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,429.10	Facility		$500.00	$800.00	$4,429.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,324.65 / $4,602.02 / $7,847.64	Professional		$3,324.65	$4,602.02	$7,847.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,161.10 / $3,803.32 / $3,803.32	Facility		$3,161.10	$3,803.32	$3,803.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,161.10 / $3,803.32 / $4,001.22	Professional		$3,161.10	$3,803.32	$4,001.22
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 $3,186.97 / $4,408.17 / $7,504.67	Professional		$3,186.97	$4,408.17	$7,504.67