Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $3,839.00 / $8,113.00	Facility		$87.58	$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 $94.88 / $575.00 / $2,151.00	Facility		$94.88	$575.00	$2,151.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	AS	$9.25	$9.25	$9.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $184.59 / $184.59 / $184.59	Facility		$184.59	$184.59	$184.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $4,761.00 / $8,247.00	Facility		$760.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $575.00 / $2,151.00	Facility		$94.88	$575.00	$2,151.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	AS	$9.25	$9.25	$9.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $84.24	Facility		$81.56	$81.56	$84.24
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $512.00 / $3,000.00	Facility		$89.00	$512.00	$3,000.00