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 $1,891.27 / $2,147.71 / $2,780.88	Professional		$1,891.27	$2,147.71	$2,780.88
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 $2,142.37 / $2,223.21 / $2,223.21	Professional		$2,142.37	$2,223.21	$2,223.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,445.40	Facility		$500.00	$800.00	$2,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.25 / $2,619.55 / $4,486.58	Professional		$1,813.25	$2,619.55	$4,486.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,804.72 / $4,804.72 / $4,804.72	Facility		$4,804.72	$4,804.72	$4,804.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,586.23 / $3,303.80 / $4,289.43	Professional		$2,586.23	$3,303.80	$4,289.43
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 $1,842.51 / $2,250.73 / $5,958.00	Professional		$1,842.51	$2,250.73	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.30 / $1,452.30 / $1,452.30	Facility		$1,452.30	$1,452.30	$1,452.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,838.10 / $5,400.20	Professional		$7.00	$1,838.10	$5,400.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,445.40	Facility		$500.00	$800.00	$2,445.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.65 / $2,607.90 / $4,486.58	Professional		$1,838.65	$2,607.90	$4,486.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,963.66 / $2,100.54 / $2,100.54	Facility		$1,963.66	$2,100.54	$2,100.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,963.66 / $2,100.54 / $2,209.21	Professional		$1,963.66	$2,100.54	$2,209.21
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 $1,839.22 / $2,549.98 / $4,305.30	Professional		$1,839.22	$2,549.98	$4,305.30