Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.64 / $9,760.54 / $24,713.53	Facility		$1,851.64	$9,760.54	$24,713.53
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 AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,895.50 / $3,895.50 / $3,895.50	Facility		$3,895.50	$3,895.50	$3,895.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,612.66 / $11,103.36 / $21,420.18	Facility		$4,612.66	$11,103.36	$21,420.18
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $13,737.75 / $13,737.75 / $26,837.21	Facility	22	$13,737.75	$13,737.75	$26,837.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $7,448.75 / $22,271.12	Facility		$1,569.00	$7,448.75	$22,271.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,660.00 / $2,660.00 / $2,660.00	Facility		$2,660.00	$2,660.00	$2,660.00
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 AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.74 / $1,698.74 / $1,708.16	Facility		$1,698.74	$1,698.74	$1,708.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,557.00 / $8,261.00	Facility		$1,899.00	$4,557.00	$8,261.00