Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.74 / $2,747.00 / $8,104.00	Facility		$897.74	$2,747.00	$8,104.00
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 $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,890.92 / $1,890.92 / $1,890.92	Facility		$1,890.92	$1,890.92	$1,890.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $684.70 / $684.70 / $684.70	Facility		$684.70	$684.70	$684.70
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 $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $823.04 / $823.04 / $823.04	Facility		$823.04	$823.04	$823.04
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00