Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$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 / $2,318.78	Facility		$500.00	$800.00	$2,318.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $227.05 / $227.05 / $227.05	Facility	AS	$227.05	$227.05	$227.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,554.17 / $4,554.17 / $4,554.17	Facility		$4,554.17	$4,554.17	$4,554.17
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 $1,388.50 / $1,388.50 / $1,388.50	Facility		$1,388.50	$1,388.50	$1,388.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,318.78	Facility		$500.00	$800.00	$2,318.78
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $227.05 / $227.05 / $227.05	Facility	AS	$227.05	$227.05	$227.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,840.21 / $1,989.15 / $1,989.15	Facility		$1,840.21	$1,989.15	$1,989.15
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