Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$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 / $3,529.97	Facility		$500.00	$800.00	$3,529.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,919.19 / $6,919.19 / $6,919.19	Facility		$6,919.19	$6,919.19	$6,919.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,043.20 / $3,043.20 / $3,043.20	Facility		$3,043.20	$3,043.20	$3,043.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,529.97	Facility		$500.00	$800.00	$3,529.97
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,915.51 / $3,031.85 / $3,031.85	Facility		$2,915.51	$3,031.85	$3,031.85
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