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 $1,656.00 / $1,879.74 / $2,436.13	Professional		$1,656.00	$1,879.74	$2,436.13
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 $1,879.04 / $1,949.95 / $1,949.95	Professional		$1,879.04	$1,949.95	$1,949.95
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 $1,589.70 / $2,282.05 / $3,854.45	Professional		$1,589.70	$2,282.05	$3,854.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,213.64 / $4,213.64 / $4,213.64	Facility		$4,213.64	$4,213.64	$4,213.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.13 / $2,897.09 / $3,761.98	Professional		$2,268.13	$2,897.09	$3,761.98
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 $1,645.98 / $1,954.93 / $5,457.00	Professional		$1,645.98	$1,954.93	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.59 / $1,067.59 / $1,067.59	Facility		$1,067.59	$1,067.59	$1,067.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,354.10 / $4,723.50	Professional		$7.00	$1,354.10	$4,723.50
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 $1,610.05 / $2,250.46 / $3,854.45	Professional		$1,610.05	$2,250.46	$3,854.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,680.64 / $1,839.86 / $1,839.86	Facility		$1,680.64	$1,839.86	$1,839.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,680.64 / $1,839.86 / $1,934.76	Professional		$1,680.64	$1,839.86	$1,934.76
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 $1,596.10 / $2,174.87 / $3,633.02	Professional		$1,596.10	$2,174.87	$3,633.02