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 / $8,113.00	Facility		$1,301.00	$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 $500.00 / $800.00 / $2,654.64	Facility		$500.00	$800.00	$2,654.64
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,220.72 / $5,220.72 / $5,220.72	Facility		$5,220.72	$5,220.72	$5,220.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.70 / $1,653.70 / $1,653.70	Facility		$1,653.70	$1,653.70	$1,653.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,654.64	Facility		$500.00	$800.00	$2,654.64
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,281.09 / $2,281.09 / $2,281.09	Facility		$2,281.09	$2,281.09	$2,281.09
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,180.02 / $2,180.02 / $2,180.02	Facility	62	$2,180.02	$2,180.02	$2,180.02
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