Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.00 / $7,685.00 / $24,047.45	Facility		$1,763.00	$7,685.00	$24,047.45
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $17,337.16 / $17,337.16 / $17,337.16	Facility	62	$17,337.16	$17,337.16	$17,337.16
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 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,864.34 / $3,864.34 / $3,864.34	Facility		$3,864.34	$3,864.34	$3,864.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,100.67 / $24,945.35 / $52,937.86	Facility		$13,100.67	$24,945.35	$52,937.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,133.00 / $24,047.45	Facility		$1,519.00	$6,133.00	$24,047.45
Martin's Point Facility/Professional Facility Modifier 62 Low / Median / High Price $17,337.16 / $17,337.16 / $17,337.16	Facility	62	$17,337.16	$17,337.16	$17,337.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.90 / $1,949.90 / $1,949.90	Facility		$1,949.90	$1,949.90	$1,949.90
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 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,619.30 / $1,690.14 / $1,690.14	Facility		$1,619.30	$1,690.14	$1,690.14
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