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 $1,576.48 / $1,739.29 / $2,511.11	Professional		$1,576.48	$1,739.29	$2,511.11
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 $1,731.18 / $1,796.51 / $1,796.51	Professional		$1,731.18	$1,796.51	$1,796.51
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 $1,490.58 / $2,123.15 / $3,609.74	Professional		$1,490.58	$2,123.15	$3,609.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,887.14 / $3,887.14 / $3,887.14	Facility		$3,887.14	$3,887.14	$3,887.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.27 / $2,676.92 / $3,469.83	Professional		$2,091.27	$2,676.92	$3,469.83
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 $1,532.07 / $1,828.74 / $4,573.00	Professional		$1,532.07	$1,828.74	$4,573.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,990.30 / $1,990.30 / $1,990.30	Facility		$1,990.30	$1,990.30	$1,990.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,337.50 / $4,379.89	Professional		$7.00	$2,337.50	$4,379.89
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 $1,507.11 / $2,107.60 / $3,609.74	Professional		$1,507.11	$2,107.60	$3,609.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,583.15 / $1,698.29 / $1,698.29	Facility		$1,583.15	$1,698.29	$1,698.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,583.15 / $1,698.29 / $1,788.04	Professional		$1,583.15	$1,698.29	$1,788.04
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 $1,543.48 / $2,047.54 / $3,380.41	Professional		$1,543.48	$2,047.54	$3,380.41