Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.28 / $3,964.00 / $8,247.00	Facility		$1,193.28	$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 $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,681.95 / $2,681.95 / $2,681.95	Facility		$2,681.95	$2,681.95	$2,681.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Facility		$1,050.00	$1,050.00	$1,050.00
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 $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,141.53 / $1,170.56 / $1,170.56	Facility		$1,141.53	$1,170.56	$1,170.56
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