Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,964.00 / $8,017.00	Facility		$832.00	$3,964.00	$8,017.00
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 $491.00 / $5,647.00 / $11,447.88	Facility		$491.00	$5,647.00	$11,447.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $502.30 / $502.30 / $502.30	Facility		$502.30	$502.30	$502.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,070.00 / $8,017.00	Facility		$954.00	$4,070.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $360.30 / $360.30 / $360.30	Facility		$360.30	$360.30	$360.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $394.44 / $2,109.00 / $10,893.32	Facility		$394.44	$2,109.00	$10,893.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $225.98 / $368.71 / $4,690.09	Facility		$225.98	$368.71	$4,690.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $4,563.00 / $7,000.00	Facility		$1,822.00	$4,563.00	$7,000.00