Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.57 / $9,788.04 / $17,650.00	Facility		$1,413.57	$9,788.04	$17,650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $627.36 / $9,093.60	Professional		$590.46	$627.36	$9,093.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $598.59 / $701.17 / $8,639.91	Facility		$598.59	$701.17	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $701.17 / $701.17 / $701.17	Professional		$701.17	$701.17	$701.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $707.39 / $1,187.18	Facility		$627.36	$707.39	$1,187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.26 / $627.36 / $627.36	Professional		$533.26	$627.36	$627.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.79 / $828.15 / $1,367.51	Facility		$477.79	$828.15	$1,367.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $909.67 / $9,418.96 / $17,650.00	Facility		$909.67	$9,418.96	$17,650.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $637.34 / $9,093.60	Professional		$612.60	$637.34	$9,093.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,877.73 / $8,877.73 / $8,877.73	Facility		$8,877.73	$8,877.73	$8,877.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $685.05 / $1,000.61 / $1,247.89	Professional		$685.05	$1,000.61	$1,247.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $707.39 / $1,039.55	Facility		$627.36	$707.39	$1,039.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $600.14 / $600.14 / $660.15	Facility		$600.14	$600.14	$660.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.14 / $600.14 / $660.15	Professional		$600.14	$600.14	$660.15
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $768.83	Professional		$615.05	$615.05	$768.83