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 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.61 / $3,019.61 / $3,019.61	Facility		$3,019.61	$3,019.61	$3,019.61
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 $861.50 / $861.50 / $861.50	Facility		$861.50	$861.50	$861.50
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 $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $848.48 / $1,314.97 / $1,314.97	Facility		$848.48	$1,314.97	$1,314.97
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