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 $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $824.96 / $2,409.53 / $5,037.67	Facility		$824.96	$2,409.53	$5,037.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.63 / $1,628.63 / $1,628.63	Facility		$1,628.63	$1,628.63	$1,628.63
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 $697.40 / $697.40 / $697.40	Facility		$697.40	$697.40	$697.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $824.96 / $2,390.62 / $5,647.00	Facility		$824.96	$2,390.62	$5,647.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.66 / $710.16 / $710.16	Facility		$645.66	$710.16	$710.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00