Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,986.28 / $8,113.00	Facility		$1,301.00	$4,986.28	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,122.93 / $4,677.17 / $6,297.33	Professional		$4,122.93	$4,677.17	$6,297.33
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 $4,697.47 / $4,874.74 / $8,723.79	Professional		$4,697.47	$4,874.74	$8,723.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,349.05	Facility		$500.00	$800.00	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,936.02 / $5,672.90 / $9,789.75	Professional		$3,936.02	$5,672.90	$9,789.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,536.83 / $10,536.83 / $10,536.83	Facility		$10,536.83	$10,536.83	$10,536.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,670.99 / $7,247.36 / $9,407.19	Professional		$5,670.99	$7,247.36	$9,407.19
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 $3,967.52 / $4,918.10 / $14,809.25	Professional		$3,967.52	$4,918.10	$14,809.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,399.89 / $4,399.89 / $4,399.89	Facility		$4,399.89	$4,399.89	$4,399.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $4,989.50 / $11,726.30	Professional		$13.00	$4,989.50	$11,726.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,349.05	Facility		$500.00	$800.00	$5,349.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,936.02 / $5,672.90 / $9,789.75	Professional		$3,936.02	$5,672.90	$9,789.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,224.50 / $4,572.38 / $4,572.38	Facility		$4,224.50	$4,572.38	$4,572.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,224.50 / $4,572.38 / $4,807.82	Professional		$4,224.50	$4,572.38	$4,807.82
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 $4,023.33 / $5,338.18 / $9,071.45	Professional		$4,023.33	$5,338.18	$9,071.45