Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,989.00 / $9,534.00	Facility		$1,013.00	$4,989.00	$9,534.00
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 $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.21 / $2,103.21 / $2,103.21	Facility		$2,103.21	$2,103.21	$2,103.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,342.00 / $9,830.00	Facility		$1,301.00	$5,342.00	$9,830.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.90 / $831.90 / $831.90	Facility		$831.90	$831.90	$831.90
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 $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $872.43 / $915.83 / $915.83	Facility		$872.43	$915.83	$915.83
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