Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,819.00 / $7,197.00	Facility		$428.00	$1,819.00	$7,197.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $1,113.00 / $8,051.32	Facility		$343.00	$1,113.00	$8,051.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $774.94 / $774.94 / $774.94	Facility		$774.94	$774.94	$774.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,070.00 / $7,799.00	Facility		$536.00	$2,070.00	$7,799.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $376.40 / $376.40 / $376.40	Facility		$376.40	$376.40	$376.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $7,661.29	Facility		$343.00	$795.00	$7,661.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $307.95 / $335.40 / $453.01	Facility		$307.95	$335.40	$453.01
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00