Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.90 / $9,534.00 / $24,642.84	Facility		$1,636.90	$9,534.00	$24,642.84
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $9,636.57 / $9,636.57 / $9,636.57	Facility	62	$9,636.57	$9,636.57	$9,636.57
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 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,428.50 / $3,428.50 / $3,428.50	Facility		$3,428.50	$3,428.50	$3,428.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,383.43 / $20,118.15 / $39,015.83	Facility		$9,383.43	$20,118.15	$39,015.83
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $10,593.89 / $10,593.89 / $10,593.89	Facility	22	$10,593.89	$10,593.89	$10,593.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $7,197.00 / $25,300.06	Facility		$1,569.00	$7,197.00	$25,300.06
Martin's Point Facility/Professional Facility Modifier 62 Low / Median / High Price $9,636.57 / $9,636.57 / $9,636.57	Facility	62	$9,636.57	$9,636.57	$9,636.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,677.80 / $1,677.80 / $1,677.80	Facility		$1,677.80	$1,677.80	$1,677.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,454.74 / $1,502.44 / $1,502.44	Facility		$1,454.74	$1,502.44	$1,502.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $4,563.00 / $7,000.00	Facility		$1,822.00	$4,563.00	$7,000.00