Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.51 / $3,839.00 / $8,247.00	Facility		$752.51	$3,839.00	$8,247.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $799.48 / $2,151.00	Facility		$500.00	$799.48	$2,151.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.49 / $1,584.49 / $1,584.49	Facility		$1,584.49	$1,584.49	$1,584.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $752.51 / $4,761.00 / $8,427.00	Facility		$752.51	$4,761.00	$8,427.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $564.79 / $564.79 / $564.79	Facility		$564.79	$564.79	$564.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $799.48 / $2,151.00	Facility		$500.00	$799.48	$2,151.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $640.77 / $688.72 / $688.72	Facility		$640.77	$688.72	$688.72
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00