Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.92 / $3,839.00 / $8,113.00	Facility		$1,249.92	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.81 / $1,249.92 / $1,618.52	Professional		$1,105.81	$1,249.92	$1,618.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,305.28 / $2,305.28 / $2,305.28	Professional		$2,305.28	$2,305.28	$2,305.28
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 $1,250.84 / $1,298.06 / $2,357.17	Professional		$1,250.84	$1,298.06	$2,357.17
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 $1,067.91 / $1,517.05 / $2,598.30	Professional		$1,067.91	$1,517.05	$2,598.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,811.08 / $2,811.08 / $2,811.08	Facility		$2,811.08	$2,811.08	$2,811.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.62 / $1,938.36 / $2,509.37	Professional		$1,511.62	$1,938.36	$2,509.37
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 $1,075.67 / $1,320.39 / $4,238.64	Professional		$1,075.67	$1,320.39	$4,238.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.80 / $1,150.80 / $1,150.80	Facility		$1,150.80	$1,150.80	$1,150.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,479.30 / $3,159.10	Professional		$7.00	$1,479.30	$3,159.10
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 $1,067.91 / $1,516.35 / $2,598.30	Professional		$1,067.91	$1,516.35	$2,598.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,019.92 / $1,224.39 / $1,224.39	Facility		$1,019.92	$1,224.39	$1,224.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,019.92 / $1,224.39 / $1,290.03	Professional		$1,019.92	$1,224.39	$1,290.03
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 $1,042.47 / $1,423.30 / $2,403.39	Professional		$1,042.47	$1,423.30	$2,403.39