Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $4,831.00 / $8,240.00	Facility		$1,416.00	$4,831.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,302.67 / $4,902.66 / $7,070.20	Professional		$4,302.67	$4,902.66	$7,070.20
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 $4,898.93 / $5,083.79 / $5,083.79	Professional		$4,898.93	$5,083.79	$5,083.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,597.96	Facility		$500.00	$800.00	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,194.27 / $6,009.07 / $10,291.90	Professional		$4,194.27	$6,009.07	$10,291.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,958.60 / $10,958.60 / $10,958.60	Facility		$10,958.60	$10,958.60	$10,958.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,904.69 / $7,511.28 / $9,787.07	Professional		$5,904.69	$7,511.28	$9,787.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,247.00	Facility		$1,283.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,544.00 / $5,084.27 / $8,348.51	Professional		$1,544.00	$5,084.27	$8,348.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,706.40 / $1,706.40 / $1,706.40	Facility		$1,706.40	$1,706.40	$1,706.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.40 / $1,979.50 / $10,353.79	Professional		$1,706.40	$1,979.50	$10,353.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $5,597.96	Facility		$500.00	$800.00	$5,597.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,208.93 / $5,944.49 / $10,291.90	Professional		$4,208.93	$5,944.49	$10,291.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,232.80 / $4,799.79 / $4,799.79	Facility		$4,232.80	$4,799.79	$4,799.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,232.80 / $4,799.79 / $5,036.80	Professional		$4,232.80	$4,799.79	$5,036.80
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 $4,157.14 / $5,617.50 / $9,562.44	Professional		$4,157.14	$5,617.50	$9,562.44