Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,894.00 / $8,451.00	Facility		$1,461.00	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.41 / $1,479.03 / $1,917.50	Professional		$1,304.41	$1,479.03	$1,917.50
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 $1,482.60 / $1,538.55 / $2,601.03	Professional		$1,482.60	$1,538.55	$2,601.03
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 $1,265.68 / $1,781.55 / $3,030.01	Professional		$1,265.68	$1,781.55	$3,030.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,327.24 / $3,327.24 / $3,327.24	Facility		$3,327.24	$3,327.24	$3,327.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.70 / $2,289.35 / $2,969.75	Professional		$1,790.70	$2,289.35	$2,969.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $9,617.00	Facility		$1,301.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,240.48 / $1,552.59 / $5,041.00	Professional		$1,240.48	$1,552.59	$5,041.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Facility		$1,260.00	$1,260.00	$1,260.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,697.70 / $3,722.20	Professional		$7.00	$1,697.70	$3,722.20
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 $1,269.75 / $1,769.11 / $3,030.01	Professional		$1,269.75	$1,769.11	$3,030.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,432.00 / $1,448.88 / $1,448.88	Facility		$1,432.00	$1,448.88	$1,448.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,388.00 / $1,448.88 / $1,524.41	Professional		$1,388.00	$1,448.88	$1,524.41
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 $1,294.34 / $1,691.53 / $2,879.79	Professional		$1,294.34	$1,691.53	$2,879.79