Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.04 / $5,079.00 / $9,830.00	Facility		$1,040.04	$5,079.00	$9,830.00
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 $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,189.73 / $2,189.73 / $2,189.73	Facility		$2,189.73	$2,189.73	$2,189.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $10,527.00	Facility		$1,301.00	$5,350.00	$10,527.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $864.00 / $864.00	Facility		$864.00	$864.00	$864.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $904.20 / $952.07 / $952.07	Facility		$904.20	$952.07	$952.07
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