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 $1,161.68 / $1,313.68 / $1,697.84	Professional		$1,161.68	$1,313.68	$1,697.84
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 $1,311.74 / $1,361.24 / $2,011.68	Professional		$1,311.74	$1,361.24	$2,011.68
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 $1,122.40 / $1,594.67 / $2,731.24	Professional		$1,122.40	$1,594.67	$2,731.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,949.09 / $2,949.09 / $2,949.09	Facility		$2,949.09	$2,949.09	$2,949.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,585.67 / $2,034.35 / $2,632.25	Professional		$1,585.67	$2,034.35	$2,632.25
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 $1,129.54 / $1,387.32 / $4,459.09	Professional		$1,129.54	$1,387.32	$4,459.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,161.70 / $1,161.70 / $1,161.70	Facility		$1,161.70	$1,161.70	$1,161.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,535.70 / $3,324.20	Professional		$7.00	$1,535.70	$3,324.20
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 $1,125.98 / $1,591.48 / $2,731.24	Professional		$1,125.98	$1,591.48	$2,731.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,061.25 / $1,284.93 / $1,284.93	Facility		$1,061.25	$1,284.93	$1,284.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,061.25 / $1,284.93 / $1,354.27	Professional		$1,061.25	$1,284.93	$1,354.27
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 $1,090.76 / $1,534.00 / $2,664.18	Professional		$1,090.76	$1,534.00	$2,664.18