Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.63 / $3,839.00 / $8,113.00	Facility		$1,269.63	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.55 / $1,269.63 / $1,641.32	Professional		$1,122.55	$1,269.63	$1,641.32
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 $1,268.03 / $1,315.88 / $1,315.88	Professional		$1,268.03	$1,315.88	$1,315.88
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 $1,084.43 / $1,540.89 / $2,639.12	Professional		$1,084.43	$1,540.89	$2,639.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.92 / $2,850.92 / $2,850.92	Facility		$2,850.92	$2,850.92	$2,850.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.00 / $1,966.50 / $2,544.37	Professional		$1,533.00	$1,966.50	$2,544.37
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 $1,120.00 / $1,340.60 / $4,309.62	Professional		$1,120.00	$1,340.60	$4,309.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.59 / $1,170.59 / $1,170.59	Facility		$1,170.59	$1,170.59	$1,170.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,627.50 / $3,212.80	Professional		$7.00	$1,627.50	$3,212.80
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 $1,090.19 / $1,540.89 / $2,639.12	Professional		$1,090.19	$1,540.89	$2,639.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,242.05 / $1,242.05 / $1,335.52	Facility		$1,242.05	$1,242.05	$1,335.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,191.86 / $1,260.70 / $1,335.52	Professional		$1,191.86	$1,260.70	$1,335.52
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 $1,095.02 / $1,449.75 / $2,471.12	Professional		$1,095.02	$1,449.75	$2,471.12