Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.94 / $4,534.00 / $8,247.00	Facility		$1,345.94	$4,534.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.10 / $1,257.40 / $1,691.97	Professional		$1,119.10	$1,257.40	$1,691.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,260.46 / $1,308.02 / $1,308.02	Professional		$1,260.46	$1,308.02	$1,308.02
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 $1,079.89 / $1,515.46 / $2,561.44	Professional		$1,079.89	$1,515.46	$2,561.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,831.03 / $2,831.03 / $2,831.03	Facility		$2,831.03	$2,831.03	$2,831.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.91 / $1,950.34 / $2,526.98	Professional		$1,522.91	$1,950.34	$2,526.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,404.00	Facility		$1,283.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,085.48 / $1,333.10 / $4,643.00	Professional		$1,085.48	$1,333.10	$4,643.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.00 / $1,022.00 / $1,022.00	Facility		$1,022.00	$1,022.00	$1,022.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,376.80 / $3,171.70	Professional		$7.00	$1,376.80	$3,171.70
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 $1,079.89 / $1,496.26 / $2,561.44	Professional		$1,079.89	$1,496.26	$2,561.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.19 / $1,232.19 / $1,255.53	Facility		$1,232.19	$1,232.19	$1,255.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,181.13 / $1,251.70 / $1,297.44	Professional		$1,181.13	$1,251.70	$1,297.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,591.00 / $7,000.00 / $11,238.00	Facility		$3,591.00	$7,000.00	$11,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.51 / $1,433.60 / $2,418.60	Professional		$1,114.51	$1,433.60	$2,418.60