Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $5,254.00 / $10,527.00	Facility		$1,499.00	$5,254.00	$10,527.00
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 $3,342.30 / $3,342.30 / $3,342.30	Facility		$3,342.30	$3,342.30	$3,342.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,459.00 / $5,742.00 / $11,083.00	Facility		$1,459.00	$5,742.00	$11,083.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $934.40 / $934.40 / $934.40	Facility		$934.40	$934.40	$934.40
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 $1,397.71 / $1,452.56 / $1,452.56	Facility		$1,397.71	$1,452.56	$1,452.56
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