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 $1,208.04 / $1,366.56 / $1,768.40	Professional		$1,208.04	$1,366.56	$1,768.40
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 $1,364.33 / $1,415.81 / $1,415.81	Professional		$1,364.33	$1,415.81	$1,415.81
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 $1,167.10 / $1,661.23 / $2,845.24	Professional		$1,167.10	$1,661.23	$2,845.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,065.62 / $3,065.62 / $3,065.62	Facility		$3,065.62	$3,065.62	$3,065.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.64 / $2,113.40 / $2,736.59	Professional		$1,648.64	$2,113.40	$2,736.59
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 $1,185.22 / $1,442.41 / $4,633.97	Professional		$1,185.22	$1,442.41	$4,633.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,224.40 / $1,224.40 / $1,224.40	Facility		$1,224.40	$1,224.40	$1,224.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,648.20 / $3,453.70	Professional		$7.00	$1,648.20	$3,453.70
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 $1,172.95 / $1,661.23 / $2,845.24	Professional		$1,172.95	$1,661.23	$2,845.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,222.29 / $1,337.71 / $1,337.71	Facility		$1,222.29	$1,337.71	$1,337.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,222.29 / $1,337.71 / $1,409.32	Professional		$1,222.29	$1,337.71	$1,409.32
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 $1,136.17 / $1,545.29 / $2,630.77	Professional		$1,136.17	$1,545.29	$2,630.77