Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.74 / $5,254.00 / $10,527.00	Facility		$1,162.74	$5,254.00	$10,527.00
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 $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,444.65 / $2,444.65 / $2,444.65	Facility		$2,444.65	$2,444.65	$2,444.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,526.00 / $11,083.00	Facility		$1,426.00	$5,526.00	$11,083.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $984.70 / $984.70 / $984.70	Facility		$984.70	$984.70	$984.70
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 $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,066.74 / $1,066.74 / $1,066.74	Facility		$1,066.74	$1,066.74	$1,066.74
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