Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,839.00 / $7,799.00	Facility		$882.00	$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 / $5,375.14 / $10,674.76	Facility		$500.00	$5,375.14	$10,674.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $934.16 / $934.16 / $934.16	Facility		$934.16	$934.16	$934.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,068.00 / $8,017.00	Facility		$1,013.00	$4,068.00	$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 / $10,226.00	Facility		$500.00	$2,109.00	$10,226.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $423.42 / $596.11 / $5,340.72	Facility		$423.42	$596.11	$5,340.72
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