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 $2,549.59 / $2,896.45 / $3,747.75	Professional		$2,549.59	$2,896.45	$3,747.75
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 $2,884.19 / $2,993.02 / $2,993.02	Professional		$2,884.19	$2,993.02	$2,993.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,293.81	Facility		$500.00	$800.00	$3,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,486.86 / $3,526.36 / $6,039.70	Professional		$2,486.86	$3,526.36	$6,039.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,468.76 / $6,468.76 / $6,468.76	Facility		$6,468.76	$6,468.76	$6,468.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,481.72 / $4,448.60 / $5,775.28	Professional		$3,481.72	$4,448.60	$5,775.28
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 $2,533.21 / $3,030.73 / $5,958.00	Professional		$2,533.21	$3,030.73	$5,958.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,848.20 / $2,848.20 / $2,848.20	Facility		$2,848.20	$2,848.20	$2,848.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,681.80 / $7,286.00	Professional		$8.00	$3,681.80	$7,286.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,293.81	Facility		$500.00	$800.00	$3,293.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.96 / $3,526.36 / $6,039.70	Professional		$2,519.96	$3,526.36	$6,039.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,683.25 / $2,831.14 / $2,831.14	Facility		$2,683.25	$2,831.14	$2,831.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,683.25 / $2,831.14 / $2,977.98	Professional		$2,683.25	$2,831.14	$2,977.98
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 $2,529.50 / $3,305.92 / $5,597.41	Professional		$2,529.50	$3,305.92	$5,597.41