Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.19 / $8,060.76 / $16,266.62	Facility		$2,612.19	$8,060.76	$16,266.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,946.00 / $19,067.15 / $19,835.11	Facility	22	$6,946.00	$19,067.15	$19,835.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,556.27 / $6,010.73 / $41,192.85	Facility		$4,556.27	$6,010.73	$41,192.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $12,837.00 / $26,582.19	Facility		$8,639.91	$12,837.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $800.00 / $2,656.00	Facility		$649.00	$800.00	$2,656.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.16 / $1,361.16 / $1,361.16	Facility		$1,361.16	$1,361.16	$1,361.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,329.00 / $12,011.05 / $22,895.61	Facility		$4,329.00	$12,011.05	$22,895.61
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $3,725.01 / $3,725.01 / $26,151.44	Facility	22	$3,725.01	$3,725.01	$26,151.44
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,328.31 / $5,943.63 / $14,818.13	Facility		$4,328.31	$5,943.63	$14,818.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $8,017.00 / $18,373.33	Facility		$1,569.00	$8,017.00	$18,373.33
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $4,432.00 / $18,929.55 / $19,835.11	Facility	22	$4,432.00	$18,929.55	$19,835.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $618.50 / $618.50 / $618.50	Facility		$618.50	$618.50	$618.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $800.00 / $2,656.00	Facility		$649.00	$800.00	$2,656.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $571.26 / $590.36 / $590.36	Facility		$571.26	$590.36	$590.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,803.00 / $4,563.00 / $7,000.00	Facility		$1,803.00	$4,563.00	$7,000.00