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 $1,152.59 / $1,306.78 / $1,693.25	Professional		$1,152.59	$1,306.78	$1,693.25
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 $1,307.15 / $1,356.48 / $1,356.48	Professional		$1,307.15	$1,356.48	$1,356.48
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 $1,121.91 / $1,593.64 / $2,729.46	Professional		$1,121.91	$1,593.64	$2,729.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,933.49 / $2,933.49 / $2,933.49	Facility		$2,933.49	$2,933.49	$2,933.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.81 / $2,018.39 / $2,618.28	Professional		$1,578.81	$2,018.39	$2,618.28
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 $1,139.94 / $1,375.40 / $4,417.59	Professional		$1,139.94	$1,375.40	$4,417.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,289.09 / $1,289.09 / $1,289.09	Facility		$1,289.09	$1,289.09	$1,289.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,670.40 / $3,289.60	Professional		$7.00	$1,670.40	$3,289.60
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 $1,123.81 / $1,589.75 / $2,729.46	Professional		$1,123.81	$1,589.75	$2,729.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,240.03 / $1,279.41 / $1,279.41	Facility		$1,240.03	$1,279.41	$1,279.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,225.60 / $1,279.41 / $1,346.19	Professional		$1,225.60	$1,279.41	$1,346.19
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 $1,145.32 / $1,506.79 / $2,523.32	Professional		$1,145.32	$1,506.79	$2,523.32