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 $1,443.75 / $2,337.54 / $2,993.84	Professional		$1,443.75	$2,337.54	$2,993.84
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 $2,019.73 / $2,095.94 / $2,095.94	Professional		$2,019.73	$2,095.94	$2,095.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,588.77	Facility		$500.00	$800.00	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.11 / $2,742.50 / $5,843.38	Professional		$1,381.11	$2,742.50	$5,843.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,322.07 / $3,322.07 / $3,322.07	Professional		$3,322.07	$3,322.07	$3,322.07
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 $1,312.50 / $2,340.96 / $3,432.80	Professional		$1,312.50	$2,340.96	$3,432.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $1,547.00 / $1,547.00	Facility		$1,547.00	$1,547.00	$1,547.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,547.00 / $1,547.00	Professional		$7.00	$1,547.00	$1,547.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,588.77	Facility		$500.00	$800.00	$2,588.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $2,682.80 / $5,721.20	Professional		$630.00	$2,682.80	$5,721.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,297.04 / $1,974.88 / $1,974.88	Facility		$1,297.04	$1,974.88	$1,974.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,297.04 / $1,974.88 / $2,090.05	Professional		$1,297.04	$1,974.88	$2,090.05
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 $1,509.90 / $2,270.82 / $3,812.82	Professional		$1,509.90	$2,270.82	$3,812.82