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 $1,577.27 / $1,789.09 / $2,319.98	Professional		$1,577.27	$1,789.09	$2,319.98
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 $1,789.64 / $1,857.17 / $1,857.17	Professional		$1,789.64	$1,857.17	$1,857.17
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 $1,531.89 / $2,180.44 / $3,734.51	Professional		$1,531.89	$2,180.44	$3,734.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,013.54 / $4,013.54 / $4,013.54	Facility		$4,013.54	$4,013.54	$4,013.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.32 / $2,759.80 / $3,583.26	Professional		$2,160.32	$2,759.80	$3,583.26
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 $1,552.99 / $1,877.50 / $5,457.00	Professional		$1,552.99	$1,877.50	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,597.00 / $1,597.00 / $1,597.00	Facility		$1,597.00	$1,597.00	$1,597.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,085.90 / $4,496.50	Professional		$7.00	$2,085.90	$4,496.50
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 $1,535.98 / $2,175.77 / $3,734.51	Professional		$1,535.98	$2,175.77	$3,734.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,468.24 / $1,752.24 / $1,752.24	Facility		$1,468.24	$1,752.24	$1,752.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,468.24 / $1,752.24 / $1,842.76	Professional		$1,468.24	$1,752.24	$1,842.76
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 $1,511.72 / $2,055.71 / $3,489.72	Professional		$1,511.72	$2,055.71	$3,489.72