Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.09 / $4,990.00 / $10,527.00	Facility		$1,013.09	$4,990.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.42 / $704.93 / $920.57	Professional		$651.42	$704.93	$920.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $699.40 / $725.79 / $725.79	Professional		$699.40	$725.79	$725.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,138.63 / $8,219.10	Facility		$950.00	$4,138.63	$8,219.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.16 / $877.21 / $1,406.84	Professional		$588.16	$877.21	$1,406.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,581.74 / $1,581.74 / $1,581.74	Facility		$1,581.74	$1,581.74	$1,581.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $839.97 / $1,114.54 / $1,426.04	Professional		$839.97	$1,114.54	$1,426.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,526.00 / $11,182.00	Facility		$1,301.00	$5,526.00	$11,182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $651.99 / $797.93 / $3,787.74	Professional		$651.99	$797.93	$3,787.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $767.40 / $767.40 / $767.40	Facility		$767.40	$767.40	$767.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $922.40 / $1,810.90	Professional		$6.00	$922.40	$1,810.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $3,260.00 / $7,820.94	Facility		$792.33	$3,260.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $588.16 / $867.64 / $1,419.63	Professional		$588.16	$867.64	$1,419.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $685.42 / $685.42 / $689.63	Facility		$685.42	$685.42	$689.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $666.80 / $686.53 / $728.48	Professional		$666.80	$686.53	$728.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.42 / $824.51 / $1,349.09	Professional		$632.42	$824.51	$1,349.09