Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.58 / $3,938.00 / $7,629.00	Facility		$695.58	$3,938.00	$7,629.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,983.20 / $3,938.52	Facility		$526.00	$1,983.20	$3,938.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.08 / $1,470.08 / $1,470.08	Facility		$1,470.08	$1,470.08	$1,470.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $553.90 / $553.90 / $553.90	Facility		$553.90	$553.90	$553.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $3,747.73	Facility		$526.00	$1,657.00	$3,747.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $552.34 / $641.16 / $641.16	Facility		$552.34	$641.16	$641.16
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