Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.17 / $5,161.00 / $10,365.45	Facility		$871.17	$5,161.00	$10,365.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,000.00 / $6,000.00 / $6,000.00	Facility	50	$6,000.00	$6,000.00	$6,000.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.45 / $2,409.53 / $5,037.67	Facility		$670.45	$2,409.53	$5,037.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.90 / $1,331.90 / $1,331.90	Facility		$1,331.90	$1,331.90	$1,331.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,302.80 / $7,491.81 / $16,921.83	Facility		$4,302.80	$7,491.81	$16,921.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $871.17 / $5,016.00 / $10,527.00	Facility		$871.17	$5,016.00	$10,527.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,000.00 / $6,000.00 / $6,000.00	Facility	50	$6,000.00	$6,000.00	$6,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $640.20 / $640.20 / $640.20	Facility		$640.20	$640.20	$640.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $670.45 / $2,390.62 / $5,647.00	Facility		$670.45	$2,390.62	$5,647.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $590.55	Facility		$576.94	$576.94	$590.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00