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 $2,538.96 / $2,891.98 / $4,506.27	Professional		$2,538.96	$2,891.98	$4,506.27
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 $2,871.54 / $2,979.90 / $2,979.90	Professional		$2,871.54	$2,979.90	$2,979.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,279.28	Facility		$500.00	$800.00	$3,279.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,475.89 / $3,511.48 / $6,014.20	Professional		$2,475.89	$3,511.48	$6,014.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,440.47 / $6,440.47 / $6,440.47	Facility		$6,440.47	$6,440.47	$6,440.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,466.45 / $4,429.29 / $5,750.04	Professional		$3,466.45	$4,429.29	$5,750.04
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 $2,527.19 / $3,106.81 / $9,158.82	Professional		$2,527.19	$3,106.81	$9,158.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,823.50 / $2,823.50 / $2,823.50	Facility		$2,823.50	$2,823.50	$2,823.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,665.80 / $7,254.30	Professional		$8.00	$3,665.80	$7,254.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,279.28	Facility		$500.00	$800.00	$3,279.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,508.92 / $3,502.93 / $6,014.20	Professional		$2,508.92	$3,502.93	$6,014.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,684.41 / $2,819.59 / $2,819.59	Facility		$2,684.41	$2,819.59	$2,819.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,684.41 / $2,819.59 / $2,965.93	Professional		$2,684.41	$2,819.59	$2,965.93
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 $2,519.55 / $3,340.71 / $5,607.90	Professional		$2,519.55	$3,340.71	$5,607.90