Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$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 / $3,543.61	Facility		$500.00	$800.00	$3,543.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,958.98 / $6,958.98 / $6,958.98	Facility		$6,958.98	$6,958.98	$6,958.98
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 $3,051.80 / $3,051.80 / $3,051.80	Facility		$3,051.80	$3,051.80	$3,051.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $3,543.61	Facility		$500.00	$800.00	$3,543.61
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,041.62 / $3,041.62 / $3,041.62	Facility		$3,041.62	$3,041.62	$3,041.62
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,919.48 / $2,919.48 / $2,919.48	Facility	62	$2,919.48	$2,919.48	$2,919.48
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