Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.08 / $4,894.00 / $8,451.00	Facility		$1,205.08	$4,894.00	$8,451.00
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 $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,535.23 / $2,535.23 / $2,535.23	Facility		$2,535.23	$2,535.23	$2,535.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,205.08 / $5,424.00 / $9,617.00	Facility		$1,205.08	$5,424.00	$9,617.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $906.60 / $906.60 / $906.60	Facility		$906.60	$906.60	$906.60
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 $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.45 / $1,104.24 / $1,104.24	Facility		$912.45	$1,104.24	$1,104.24
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