Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
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 $491.00 / $2,390.62 / $5,037.67	Facility		$491.00	$2,390.62	$5,037.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $563.41 / $563.41 / $563.41	Facility		$563.41	$563.41	$563.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,017.00	Facility		$934.00	$3,389.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $694.00 / $694.00	Facility		$694.00	$694.00	$694.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $2,109.00 / $5,647.00	Facility		$443.00	$2,109.00	$5,647.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $255.16 / $343.55 / $1,406.78	Facility		$255.16	$343.55	$1,406.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $3,331.00 / $6,000.00	Facility		$1,273.00	$3,331.00	$6,000.00