Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $7,799.00	Facility		$832.00	$3,839.00	$7,799.00
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 $500.00 / $5,647.00 / $11,606.41	Facility		$500.00	$5,647.00	$11,606.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $903.86 / $903.86 / $903.86	Facility		$903.86	$903.86	$903.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $857.40 / $857.40 / $857.40	Facility		$857.40	$857.40	$857.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,109.00 / $11,044.17	Facility		$500.00	$2,109.00	$11,044.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $410.11 / $498.95 / $5,131.89	Facility		$410.11	$498.95	$5,131.89
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