Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,534.00 / $8,240.00	Facility		$926.00	$4,534.00	$8,240.00
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 $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.23 / $1,785.23 / $1,785.23	Facility		$1,785.23	$1,785.23	$1,785.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $817.70 / $817.70 / $817.70	Facility		$817.70	$817.70	$817.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $673.80 / $775.07 / $775.07	Facility		$673.80	$775.07	$775.07
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,715.00 / $4,815.00	Facility		$851.00	$2,715.00	$4,815.00