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 / $3,677.58	Facility		$500.00	$800.00	$3,677.58
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,182.23 / $7,182.23 / $7,182.23	Facility		$7,182.23	$7,182.23	$7,182.23
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 $2,347.00 / $2,347.00 / $2,347.00	Facility		$2,347.00	$2,347.00	$2,347.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,677.58	Facility		$500.00	$800.00	$3,677.58
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,673.18 / $3,148.72 / $3,148.72	Facility		$2,673.18	$3,148.72	$3,148.72
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,217.44 / $2,217.44 / $2,217.44	Facility	62	$2,217.44	$2,217.44	$2,217.44
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