Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,495.41 / $10,471.29	Facility		$1,000.00	$5,495.41	$10,471.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	50	$6,025.60	$6,025.60	$6,025.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $4,677.35	Facility		$1,000.00	$2,398.83	$4,677.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $16,595.87	Facility		$4,073.80	$7,585.78	$16,595.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,011.87 / $10,471.29	Facility		$954.99	$5,011.87	$10,471.29
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	50	$6,025.60	$6,025.60	$6,025.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $1,202.26	Facility		$645.65	$707.95	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $912.01	Facility		$416.87	$588.84	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $10,471.29	Facility		$1,258.93	$3,630.78	$10,471.29