Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,748.00 / $8,017.00	Facility		$1,084.00	$3,748.00	$8,017.00
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 / $2,209.56	Facility		$500.00	$800.00	$2,209.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,310.35 / $4,310.35 / $4,310.35	Facility		$4,310.35	$4,310.35	$4,310.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,112.50 / $2,112.50 / $2,112.50	Facility		$2,112.50	$2,112.50	$2,112.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,209.56	Facility		$500.00	$800.00	$2,209.56
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,571.27 / $1,866.76 / $1,903.71	Facility		$1,571.27	$1,866.76	$1,903.71
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