Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.85 / $4,676.00 / $9,211.00	Facility		$979.85	$4,676.00	$9,211.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
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 $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,069.23 / $2,069.23 / $2,069.23	Facility		$2,069.23	$2,069.23	$2,069.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,427.00	Facility		$1,020.00	$4,761.00	$8,427.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $910.90 / $910.90 / $910.90	Facility		$910.90	$910.90	$910.90
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 $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $900.33 / $900.33 / $900.33	Facility		$900.33	$900.33	$900.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $3,331.00 / $6,000.00	Facility		$1,273.00	$3,331.00	$6,000.00