Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $526.00 / $2,269.00	Facility		$211.25	$526.00	$2,269.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $409.82 / $409.82 / $409.82	Facility		$409.82	$409.82	$409.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $216.60 / $216.60 / $216.60	Facility		$216.60	$216.60	$216.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $526.00 / $2,269.00	Facility		$211.25	$526.00	$2,269.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $180.89 / $193.81	Facility		$180.89	$180.89	$193.81
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