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 $2,624.27 / $3,024.82 / $3,815.76	Professional		$2,624.27	$3,024.82	$3,815.76
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 $3,018.28 / $3,132.17 / $3,132.17	Professional		$3,018.28	$3,132.17	$3,132.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,447.56	Facility		$500.00	$800.00	$3,447.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.95 / $3,496.68 / $6,265.80	Professional		$1,975.95	$3,496.68	$6,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,762.06 / $6,762.06 / $6,762.06	Facility		$6,762.06	$6,762.06	$6,762.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,641.16 / $4,644.00 / $6,038.11	Professional		$3,641.16	$4,644.00	$6,038.11
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 $2,495.05 / $3,145.81 / $9,596.66	Professional		$2,495.05	$3,145.81	$9,596.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.90 / $1,569.90 / $1,569.90	Facility		$1,569.90	$1,569.90	$1,569.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,102.90 / $7,584.90	Professional		$7.00	$2,102.90	$7,584.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,447.56	Facility		$500.00	$800.00	$3,447.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.83 / $3,496.68 / $6,265.80	Professional		$1,897.83	$3,496.68	$6,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,744.35 / $2,887.47 / $2,887.47	Facility		$2,744.35	$2,887.47	$2,887.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,744.35 / $2,887.47 / $3,029.22	Professional		$2,744.35	$2,887.47	$3,029.22
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 $2,255.82 / $3,310.59 / $5,917.76	Professional		$2,255.82	$3,310.59	$5,917.76