Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
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 $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,131.31 / $3,131.31 / $3,131.31	Facility		$3,131.31	$3,131.31	$3,131.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $783.30 / $783.30 / $783.30	Facility		$783.30	$783.30	$783.30
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 $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,284.73 / $1,374.60 / $1,374.60	Facility		$1,284.73	$1,374.60	$1,374.60
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,715.00 / $4,815.00	Facility		$851.00	$2,715.00	$4,815.00