Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $750.03 / $936.98	Professional		$678.17	$750.03	$936.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $733.21 / $760.88 / $760.88	Professional		$733.21	$760.88	$760.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,025.00 / $8,073.00	Facility		$739.00	$3,025.00	$8,073.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.95 / $921.68 / $1,501.27	Professional		$587.95	$921.68	$1,501.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.08 / $1,666.08 / $1,666.08	Facility		$1,666.08	$1,666.08	$1,666.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $880.49 / $1,168.14 / $1,492.52	Professional		$880.49	$1,168.14	$1,492.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,984.85 / $1,984.85 / $1,984.85	Facility		$1,984.85	$1,984.85	$1,984.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $793.20 / $3,747.00	Professional		$685.00	$793.20	$3,747.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $627.40 / $627.40 / $627.40	Facility		$627.40	$627.40	$627.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $822.40 / $1,953.40	Professional		$6.00	$822.40	$1,953.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,760.00 / $7,820.94	Facility		$739.00	$2,760.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $598.37 / $918.67 / $1,529.57	Professional		$598.37	$918.67	$1,529.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $542.02 / $724.10 / $724.10	Facility		$542.02	$724.10	$724.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $542.02 / $724.10 / $773.64	Professional		$542.02	$724.10	$773.64
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 $611.24 / $837.75 / $1,406.63	Professional		$611.24	$837.75	$1,406.63