Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.29 / $3,839.00 / $8,113.00	Facility		$1,145.29	$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 $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,562.32 / $2,562.32 / $2,562.32	Facility		$2,562.32	$2,562.32	$2,562.32
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 $1,261.50 / $1,261.50 / $1,261.50	Facility		$1,261.50	$1,261.50	$1,261.50
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 $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,119.29 / $1,119.29 / $1,271.52	Facility		$1,119.29	$1,119.29	$1,271.52
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,113.00 / $6,228.00	Facility		$400.00	$2,113.00	$6,228.00