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 $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 $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,903.27 / $3,903.27 / $3,903.27	Facility		$3,903.27	$3,903.27	$3,903.27
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 $1,854.60 / $1,854.60 / $1,854.60	Facility		$1,854.60	$1,854.60	$1,854.60
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 $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,416.02 / $1,544.58 / $1,722.28	Facility		$1,416.02	$1,544.58	$1,722.28
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