Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.57 / $4,761.00 / $10,398.00	Facility		$1,506.57	$4,761.00	$10,398.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $4,138.63 / $8,219.10	Facility		$1,025.00	$4,138.63	$8,219.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,138.47 / $3,138.47 / $3,138.47	Facility		$3,138.47	$3,138.47	$3,138.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,459.00 / $5,511.00 / $11,083.00	Facility		$1,459.00	$5,511.00	$11,083.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.30 / $1,074.30 / $1,074.30	Facility		$1,074.30	$1,074.30	$1,074.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $3,260.00 / $7,820.94	Facility		$966.00	$3,260.00	$7,820.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,062.82 / $1,386.19 / $1,386.19	Facility		$1,062.82	$1,386.19	$1,386.19
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