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 $1,198.01 / $1,354.63 / $1,752.51	Professional		$1,198.01	$1,354.63	$1,752.51
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 $1,353.68 / $1,404.77 / $1,404.77	Professional		$1,353.68	$1,404.77	$1,404.77
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 $1,156.92 / $1,650.67 / $2,819.57	Professional		$1,156.92	$1,650.67	$2,819.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,043.09 / $3,043.09 / $3,043.09	Facility		$3,043.09	$3,043.09	$3,043.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.62 / $2,098.32 / $2,715.56	Professional		$1,636.62	$2,098.32	$2,715.56
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 $1,169.06 / $1,430.61 / $4,596.18	Professional		$1,169.06	$1,430.61	$4,596.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.50 / $1,205.50 / $1,205.50	Facility		$1,205.50	$1,205.50	$1,205.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,616.10 / $3,426.10	Professional		$7.00	$1,616.10	$3,426.10
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 $1,161.73 / $1,646.25 / $2,819.57	Professional		$1,161.73	$1,646.25	$2,819.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,190.97 / $1,325.99 / $1,325.99	Facility		$1,190.97	$1,325.99	$1,325.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,190.97 / $1,325.99 / $1,397.33	Professional		$1,190.97	$1,325.99	$1,397.33
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 $1,151.27 / $1,535.34 / $2,606.50	Professional		$1,151.27	$1,535.34	$2,606.50