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 $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,351.35 / $2,351.35 / $2,351.35	Facility		$2,351.35	$2,351.35	$2,351.35
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 $1,005.30 / $1,005.30 / $1,005.30	Facility		$1,005.30	$1,005.30	$1,005.30
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 $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $904.02 / $1,030.53 / $1,030.53	Facility		$904.02	$1,030.53	$1,030.53
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