Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,534.00 / $8,240.00	Facility		$926.00	$4,534.00	$8,240.00
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 $721.42 / $2,409.53 / $5,037.67	Facility		$721.42	$2,409.53	$5,037.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.16 / $1,432.16 / $1,432.16	Facility		$1,432.16	$1,432.16	$1,432.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.18 / $7,193.30 / $14,746.00	Facility		$1,811.18	$7,193.30	$14,746.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,240.00	Facility		$1,020.00	$4,761.00	$8,240.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $592.29 / $592.29 / $592.29	Facility		$592.29	$592.29	$592.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $721.42 / $2,390.62 / $5,647.00	Facility		$721.42	$2,390.62	$5,647.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $581.39 / $621.01 / $621.01	Facility		$581.39	$621.01	$621.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,074.00 / $5,509.00	Facility		$1,313.00	$3,074.00	$5,509.00