Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,539.08 / $8,113.00	Facility		$1,301.00	$4,539.08	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,612.68 / $4,246.72 / $5,510.31	Professional		$3,612.68	$4,246.72	$5,510.31
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 $4,265.81 / $4,426.78 / $7,916.22	Professional		$4,265.81	$4,426.78	$7,916.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,856.28	Facility		$500.00	$800.00	$4,856.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,591.42 / $5,068.07 / $8,638.29	Professional		$3,591.42	$5,068.07	$8,638.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,573.06 / $9,573.06 / $9,573.06	Facility		$9,573.06	$9,573.06	$9,573.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,014.46 / $6,588.51 / $8,546.39	Professional		$5,014.46	$6,588.51	$8,546.39
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 $3,143.34 / $4,414.10 / $7,799.00	Professional		$3,143.34	$4,414.10	$7,799.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,005.70 / $4,005.70 / $4,005.70	Facility		$4,005.70	$4,005.70	$4,005.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $4,543.10 / $10,679.30	Professional		$13.00	$4,543.10	$10,679.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,856.28	Facility		$500.00	$800.00	$4,856.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,591.42 / $5,037.80 / $8,638.29	Professional		$3,591.42	$5,037.80	$8,638.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,735.80 / $4,163.47 / $4,163.47	Facility		$3,735.80	$4,163.47	$4,163.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,735.80 / $4,163.47 / $4,380.50	Professional		$3,735.80	$4,163.47	$4,380.50
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 $3,595.97 / $4,837.58 / $8,465.15	Professional		$3,595.97	$4,837.58	$8,465.15