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 $1,188.97 / $1,344.96 / $1,996.57	Professional		$1,188.97	$1,344.96	$1,996.57
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 $1,347.28 / $1,398.12 / $1,398.12	Professional		$1,347.28	$1,398.12	$1,398.12
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 $1,143.66 / $1,635.89 / $2,801.83	Professional		$1,143.66	$1,635.89	$2,801.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,026.02 / $3,026.02 / $3,026.02	Facility		$3,026.02	$3,026.02	$3,026.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,627.75 / $2,084.75 / $2,701.15	Professional		$1,627.75	$2,084.75	$2,701.15
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 $1,163.23 / $1,439.58 / $4,554.54	Professional		$1,163.23	$1,439.58	$4,554.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.90 / $1,154.90 / $1,154.90	Facility		$1,154.90	$1,154.90	$1,154.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,498.60 / $3,393.20	Professional		$8.00	$1,498.60	$3,393.20
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 $1,149.78 / $1,620.01 / $2,801.83	Professional		$1,149.78	$1,620.01	$2,801.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,024.44 / $1,317.63 / $1,317.63	Facility		$1,024.44	$1,317.63	$1,317.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,024.44 / $1,317.63 / $1,387.44	Professional		$1,024.44	$1,317.63	$1,387.44
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 $1,141.52 / $1,558.00 / $2,617.92	Professional		$1,141.52	$1,558.00	$2,617.92