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 $1,176.97 / $1,330.19 / $1,720.55	Professional		$1,176.97	$1,330.19	$1,720.55
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 $1,329.71 / $1,379.88 / $1,846.74	Professional		$1,329.71	$1,379.88	$1,846.74
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 $1,135.63 / $1,620.72 / $2,768.99	Professional		$1,135.63	$1,620.72	$2,768.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,989.46 / $2,989.46 / $2,989.46	Facility		$2,989.46	$2,989.46	$2,989.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.62 / $2,061.76 / $2,667.84	Professional		$1,607.62	$2,061.76	$2,667.84
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 $1,147.04 / $1,379.88 / $4,514.37	Professional		$1,147.04	$1,379.88	$4,514.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.09 / $1,120.09 / $1,120.09	Facility		$1,120.09	$1,120.09	$1,120.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,489.50 / $3,365.30	Professional		$7.00	$1,489.50	$3,365.30
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 $1,141.35 / $1,616.71 / $2,768.99	Professional		$1,141.35	$1,616.71	$2,768.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,049.15 / $1,302.03 / $1,302.03	Facility		$1,049.15	$1,302.03	$1,302.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,049.15 / $1,302.03 / $1,372.18	Professional		$1,049.15	$1,302.03	$1,372.18
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 $1,145.55 / $1,522.56 / $2,699.82	Professional		$1,145.55	$1,522.56	$2,699.82