Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.06 / $4,534.00 / $8,240.00	Facility		$1,252.06	$4,534.00	$8,240.00
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 $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,642.58 / $2,642.58 / $2,642.58	Facility		$2,642.58	$2,642.58	$2,642.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,252.06 / $4,761.00 / $8,247.00	Facility		$1,252.06	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $916.60 / $916.60 / $916.60	Facility		$916.60	$916.60	$916.60
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 $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $969.77 / $1,153.95 / $1,153.95	Facility		$969.77	$1,153.95	$1,153.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00