Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,748.00 / $8,017.00	Facility		$1,119.00	$3,748.00	$8,017.00
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 $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,674.79 / $3,674.79 / $3,674.79	Facility		$3,674.79	$3,674.79	$3,674.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,964.00 / $8,017.00	Facility		$1,020.00	$3,964.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.70 / $1,785.70 / $1,785.70	Facility		$1,785.70	$1,785.70	$1,785.70
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 $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,327.52 / $1,432.84 / $1,615.54	Facility		$1,327.52	$1,432.84	$1,615.54
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