Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.42 / $3,839.00 / $8,113.00	Facility		$1,031.42	$3,839.00	$8,113.00
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
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	AS	$128.44	$128.44	$128.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,574.35 / $2,574.35 / $2,574.35	Facility		$2,574.35	$2,574.35	$2,574.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $936.90 / $936.90 / $936.90	Facility		$936.90	$936.90	$936.90
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
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	AS	$128.44	$128.44	$128.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,058.68 / $1,125.26 / $1,125.26	Facility		$1,058.68	$1,125.26	$1,125.26
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00