Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $8,017.00 / $19,933.99	Facility		$1,301.00	$8,017.00	$19,933.99
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $13,445.12 / $13,445.12 / $14,241.47	Facility	22	$13,445.12	$13,445.12	$14,241.47
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 AS Low / Median / High Price $123.14 / $123.14 / $123.14	Facility	AS	$123.14	$123.14	$123.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,465.94 / $2,465.94 / $2,465.94	Facility		$2,465.94	$2,465.94	$2,465.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,393.13 / $8,995.07 / $18,306.79	Facility		$3,393.13	$8,995.07	$18,306.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $7,175.00 / $20,789.25	Facility		$1,499.00	$7,175.00	$20,789.25
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $13,445.12 / $13,445.12 / $14,241.47	Facility	22	$13,445.12	$13,445.12	$14,241.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,458.30 / $1,458.30 / $1,458.30	Facility		$1,458.30	$1,458.30	$1,458.30
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 AS Low / Median / High Price $123.14 / $123.14 / $123.14	Facility	AS	$123.14	$123.14	$123.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,084.33 / $1,084.33 / $1,331.83	Facility		$1,084.33	$1,084.33	$1,331.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,822.00 / $4,563.00 / $9,904.00	Facility		$1,822.00	$4,563.00	$9,904.00