Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.81 / $3,964.00 / $8,113.00	Facility		$149.81	$3,964.00	$8,113.00
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 $160.57 / $560.00 / $2,151.00	Facility		$160.57	$560.00	$2,151.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $311.83 / $311.83 / $311.83	Facility		$311.83	$311.83	$311.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $193.00 / $193.00	Facility		$193.00	$193.00	$193.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $560.00 / $2,151.00	Facility		$160.57	$560.00	$2,151.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $138.46 / $138.46	Facility		$138.46	$138.46	$138.46
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