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 $1,438.79 / $1,630.76 / $2,403.67	Professional		$1,438.79	$1,630.76	$2,403.67
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 $1,631.55 / $1,693.12 / $1,693.12	Professional		$1,631.55	$1,693.12	$1,693.12
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 $1,396.46 / $1,985.77 / $3,401.09	Professional		$1,396.46	$1,985.77	$3,401.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,661.20 / $3,661.20 / $3,661.20	Facility		$3,661.20	$3,661.20	$3,661.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.22 / $2,519.38 / $3,268.39	Professional		$1,970.22	$2,519.38	$3,268.39
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 $1,417.68 / $1,716.89 / $4,636.82	Professional		$1,417.68	$1,716.89	$4,636.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.60 / $1,609.60 / $1,609.60	Facility		$1,609.60	$1,609.60	$1,609.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,085.10 / $4,105.20	Professional		$8.00	$2,085.10	$4,105.20
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 $1,399.73 / $1,985.13 / $3,401.09	Professional		$1,399.73	$1,985.13	$3,401.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,596.90 / $1,596.90 / $1,605.11	Facility		$1,596.90	$1,596.90	$1,605.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,529.80 / $1,605.11 / $1,680.24	Professional		$1,529.80	$1,605.11	$1,680.24
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.78 / $1,872.33 / $3,317.87	Professional		$1,419.78	$1,872.33	$3,317.87