Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,247.00	Facility		$1,301.00	$3,964.00	$8,247.00
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 / $4,013.89	Facility		$500.00	$800.00	$4,013.89
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,824.64 / $7,824.64 / $7,824.64	Facility		$7,824.64	$7,824.64	$7,824.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,421.00	Facility		$1,013.00	$4,761.00	$8,421.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $4,013.89	Facility		$500.00	$800.00	$4,013.89
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,435.29 / $3,435.29 / $4,038.86	Facility		$3,435.29	$3,435.29	$4,038.86
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