Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,247.00	Facility		$1,301.00	$3,964.00	$8,247.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
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 $193.42 / $193.42 / $193.42	Facility	AS	$193.42	$193.42	$193.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,855.35 / $3,855.35 / $3,855.35	Facility		$3,855.35	$3,855.35	$3,855.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,421.00	Facility		$1,013.00	$4,761.00	$8,421.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,767.80 / $1,767.80 / $1,767.80	Facility		$1,767.80	$1,767.80	$1,767.80
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 $193.42 / $193.42 / $193.42	Facility	AS	$193.42	$193.42	$193.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,389.00 / $1,533.95 / $1,695.78	Facility		$1,389.00	$1,533.95	$1,695.78
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