Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.24 / $3,839.00 / $8,113.00	Facility		$1,279.24	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.58 / $1,281.54 / $1,657.79	Professional		$1,134.58	$1,281.54	$1,657.79
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 $1,294.33 / $1,343.18 / $1,343.18	Professional		$1,294.33	$1,343.18	$1,343.18
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 $1,050.91 / $1,533.54 / $2,648.63	Professional		$1,050.91	$1,533.54	$2,648.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,920.58 / $2,920.58 / $2,920.58	Facility		$2,920.58	$2,920.58	$2,920.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.14 / $2,023.62 / $2,605.35	Professional		$1,568.14	$2,023.62	$2,605.35
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 $1,084.33 / $1,348.88 / $4,369.07	Professional		$1,084.33	$1,348.88	$4,369.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.09 / $1,128.09 / $1,128.09	Facility		$1,128.09	$1,128.09	$1,128.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,434.80 / $3,262.70	Professional		$8.00	$1,434.80	$3,262.70
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 $1,060.54 / $1,528.52 / $2,648.63	Professional		$1,060.54	$1,528.52	$2,648.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,257.60 / $1,257.60 / $1,257.60	Facility		$1,257.60	$1,257.60	$1,257.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,209.32 / $1,273.55 / $1,329.19	Professional		$1,209.32	$1,273.55	$1,329.19
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 $1,051.46 / $1,442.44 / $2,541.65	Professional		$1,051.46	$1,442.44	$2,541.65