Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,139.00 / $1,638.00	Facility		$353.00	$1,139.00	$1,638.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $326.86 / $690.24 / $1,962.18	Facility		$326.86	$690.24	$1,962.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,082.00 / $4,750.00	Facility		$350.00	$1,082.00	$4,750.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.88 / $910.05 / $1,873.66	Facility		$451.88	$910.05	$1,873.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $937.00 / $1,638.00	Facility		$305.00	$937.00	$1,638.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $1,054.75 / $1,326.94	Facility		$3.39	$1,054.75	$1,326.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $875.00 / $4,750.00	Facility		$350.00	$875.00	$4,750.00