Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,342.00 / $10,014.75	Facility		$1,426.00	$5,342.00	$10,014.75
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 $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,566.85 / $3,566.85 / $3,566.85	Facility		$3,566.85	$3,566.85	$3,566.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,350.00 / $10,014.75	Facility		$1,013.00	$5,350.00	$10,014.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.80 / $1,163.80 / $1,163.80	Facility		$1,163.80	$1,163.80	$1,163.80
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 $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.51 / $1,556.14 / $1,556.14	Facility		$1,479.51	$1,556.14	$1,556.14
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