Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.75 / $4,761.00 / $7,799.00	Facility		$706.75	$4,761.00	$7,799.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,853.00 / $8,853.00 / $19,139.18	Facility		$8,853.00	$8,853.00	$19,139.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $343.00 / $649.00	Facility		$257.89	$343.00	$649.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.77 / $501.77 / $501.77	Facility		$501.77	$501.77	$501.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $3,712.00 / $7,799.00	Facility		$1,569.00	$3,712.00	$7,799.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Facility		$455.00	$455.00	$455.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $343.00 / $649.00	Facility		$257.89	$343.00	$649.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.49 / $220.49 / $220.49	Facility		$220.49	$220.49	$220.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,356.00 / $4,789.00 / $8,865.00	Facility		$2,356.00	$4,789.00	$8,865.00