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 $1,651.01 / $1,872.53 / $2,778.39	Professional		$1,651.01	$1,872.53	$2,778.39
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 $1,868.86 / $1,939.39 / $1,939.39	Professional		$1,868.86	$1,939.39	$1,939.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.60 / $2,269.30 / $3,886.69	Professional		$1,587.60	$2,269.30	$3,886.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,194.43 / $4,194.43 / $4,194.43	Facility		$4,194.43	$4,194.43	$4,194.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.30 / $2,886.41 / $3,743.81	Professional		$2,257.30	$2,886.41	$3,743.81
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 $1,624.86 / $1,991.74 / $5,323.05	Professional		$1,624.86	$1,991.74	$5,323.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.20 / $1,273.20 / $1,273.20	Facility		$1,273.20	$1,273.20	$1,273.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $1,685.40 / $4,716.70	Professional		$13.00	$1,685.40	$4,716.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.78 / $2,266.52 / $3,886.69	Professional		$1,601.78	$2,266.52	$3,886.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,779.91 / $1,831.61 / $1,831.61	Facility		$1,779.91	$1,831.61	$1,831.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,754.95 / $1,831.61 / $1,927.48	Professional		$1,754.95	$1,831.61	$1,927.48
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 $1,605.57 / $2,127.21 / $3,615.45	Professional		$1,605.57	$2,127.21	$3,615.45