Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,500.22 / $8,113.00	Facility		$1,301.00	$4,500.22	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,577.06 / $4,209.43 / $5,456.81	Professional		$3,577.06	$4,209.43	$5,456.81
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 $4,212.54 / $4,371.50 / $4,371.50	Professional		$4,212.54	$4,371.50	$4,371.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,800.85	Facility		$500.00	$800.00	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,333.03 / $4,987.12 / $8,564.35	Professional		$3,333.03	$4,987.12	$8,564.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,447.82 / $9,447.82 / $9,447.82	Facility		$9,447.82	$9,447.82	$9,447.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,948.85 / $6,497.17 / $8,435.01	Professional		$4,948.85	$6,497.17	$8,435.01
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 $3,155.73 / $4,377.82 / $7,799.00	Professional		$3,155.73	$4,377.82	$7,799.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,885.00 / $2,885.00 / $2,885.00	Facility		$2,885.00	$2,885.00	$2,885.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,814.80 / $10,580.90	Professional		$7.00	$3,814.80	$10,580.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,800.85	Facility		$500.00	$800.00	$4,800.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,368.49 / $4,967.60 / $8,564.35	Professional		$3,368.49	$4,967.60	$8,564.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,472.27 / $4,121.58 / $4,121.58	Facility		$3,472.27	$4,121.58	$4,121.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,472.27 / $4,121.58 / $4,334.60	Professional		$3,472.27	$4,121.58	$4,334.60
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 $3,520.09 / $4,793.66 / $8,230.70	Professional		$3,520.09	$4,793.66	$8,230.70