Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $3,839.00 / $8,113.00	Facility		$258.00	$3,839.00	$8,113.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $575.00 / $2,151.00	Facility		$298.02	$575.00	$2,151.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $579.94 / $579.94 / $579.94	Facility		$579.94	$579.94	$579.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $319.80 / $319.80	Facility		$319.80	$319.80	$319.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $575.00 / $2,151.00	Facility		$298.02	$575.00	$2,151.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $255.53 / $255.53 / $332.77	Facility		$255.53	$255.53	$332.77
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