Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $2,409.53 / $4,747.66	Facility		$690.00	$2,409.53	$4,747.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.30 / $1,371.30 / $1,371.30	Facility		$1,371.30	$1,371.30	$1,371.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $605.90 / $605.90 / $605.90	Facility		$605.90	$605.90	$605.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $689.98 / $2,390.62 / $4,517.67	Facility		$689.98	$2,390.62	$4,517.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $586.80 / $593.64 / $593.64	Facility		$586.80	$593.64	$593.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,074.00 / $5,509.00	Facility		$1,300.00	$3,074.00	$5,509.00