Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $5,361.00 / $30,209.08	Facility		$1,569.00	$5,361.00	$30,209.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,971.00 / $14,971.00 / $26,582.19	Facility		$14,971.00	$14,971.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $526.00 / $1,605.00	Facility		$470.38	$526.00	$1,605.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	AS	$46.23	$46.23	$46.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $926.48 / $926.48 / $926.48	Facility		$926.48	$926.48	$926.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,570.00 / $5,100.00 / $12,504.00	Facility		$2,570.00	$5,100.00	$12,504.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.20 / $416.20 / $416.20	Facility		$416.20	$416.20	$416.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $526.00 / $1,605.00	Facility		$470.38	$526.00	$1,605.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	AS	$46.23	$46.23	$46.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $404.42 / $404.42 / $404.42	Facility		$404.42	$404.42	$404.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,789.00 / $9,750.00	Facility		$2,468.00	$4,789.00	$9,750.00