Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,894.00 / $8,451.00	Facility		$1,013.00	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.84 / $656.18 / $848.32	Professional		$583.84	$656.18	$848.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.87 / $685.81 / $685.81	Professional		$660.87	$685.81	$685.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $800.00 / $3,025.00	Facility		$739.00	$800.00	$3,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $810.49 / $1,361.18	Professional		$578.70	$810.49	$1,361.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.95 / $1,489.95 / $1,489.95	Facility		$1,489.95	$1,489.95	$1,489.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $800.39 / $1,031.07 / $1,329.06	Professional		$800.39	$1,031.07	$1,329.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,424.00 / $9,617.00	Facility		$1,151.00	$5,424.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $709.31 / $3,394.57	Professional		$585.89	$709.31	$3,394.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $708.70 / $708.70 / $708.70	Facility		$708.70	$708.70	$708.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $853.30 / $1,668.50	Professional		$7.00	$853.30	$1,668.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $800.00 / $3,025.00	Facility		$739.00	$800.00	$3,025.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $794.75 / $1,361.18	Professional		$578.70	$794.75	$1,361.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $643.22 / $643.22 / $840.81	Facility		$643.22	$643.22	$840.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $651.67 / $840.81	Professional		$618.54	$651.67	$840.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,803.00 / $4,563.00 / $7,000.00	Facility		$1,803.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.55 / $744.67 / $1,271.94	Professional		$573.55	$744.67	$1,271.94