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 / $2,376.52	Facility		$500.00	$800.00	$2,376.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,658.56 / $4,658.56 / $4,658.56	Facility		$4,658.56	$4,658.56	$4,658.56
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 $1,790.10 / $1,790.10 / $1,790.10	Facility		$1,790.10	$1,790.10	$1,790.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,376.52	Facility		$500.00	$800.00	$2,376.52
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,948.51 / $2,042.44 / $2,042.44	Facility		$1,948.51	$2,042.44	$2,042.44
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