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 $1,756.68 / $1,994.14 / $2,583.27	Professional		$1,756.68	$1,994.14	$2,583.27
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 $1,990.55 / $2,065.67 / $2,065.67	Professional		$1,990.55	$2,065.67	$2,065.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,270.62	Facility		$500.00	$800.00	$2,270.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.37 / $2,431.78 / $4,164.97	Professional		$1,712.37	$2,431.78	$4,164.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,464.72 / $4,464.72 / $4,464.72	Facility		$4,464.72	$4,464.72	$4,464.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,403.17 / $3,070.35 / $3,985.77	Professional		$2,403.17	$3,070.35	$3,985.77
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 $1,743.12 / $2,121.53 / $5,457.00	Professional		$1,743.12	$2,121.53	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,793.60 / $1,793.60 / $1,793.60	Facility		$1,793.60	$1,793.60	$1,793.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,296.10 / $5,014.70	Professional		$7.00	$2,296.10	$5,014.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,270.62	Facility		$500.00	$800.00	$2,270.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.06 / $2,425.55 / $4,164.97	Professional		$1,733.06	$2,425.55	$4,164.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,677.09 / $1,951.27 / $1,951.27	Facility		$1,677.09	$1,951.27	$1,951.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,677.09 / $1,951.27 / $2,052.40	Professional		$1,677.09	$1,951.27	$2,052.40
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 $1,724.07 / $2,311.61 / $3,851.43	Professional		$1,724.07	$2,311.61	$3,851.43