Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $3,839.00 / $8,113.00	Facility		$174.07	$3,839.00	$8,113.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.77 / $560.00 / $2,151.00	Facility		$185.77	$560.00	$2,151.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $359.92 / $359.92 / $359.92	Facility		$359.92	$359.92	$359.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $200.90 / $200.90 / $200.90	Facility		$200.90	$200.90	$200.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $185.77 / $560.00 / $2,151.00	Facility		$185.77	$560.00	$2,151.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.86 / $159.86 / $177.67	Facility		$159.86	$159.86	$177.67
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00