Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.50 / $7,188.00 / $16,183.35	Facility		$836.50	$7,188.00	$16,183.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,621.06 / $5,709.90 / $17,321.05	Facility	50	$4,621.06	$5,709.90	$17,321.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,730.00 / $18,724.00	Facility		$6,393.00	$11,730.00	$18,724.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,057.72 / $8,058.43	Facility		$950.00	$4,057.72	$8,058.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.53 / $1,284.53 / $1,284.53	Facility		$1,284.53	$1,284.53	$1,284.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,341.50 / $17,528.89 / $34,592.66	Facility		$7,341.50	$17,528.89	$34,592.66
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,380.42 / $26,255.69 / $36,649.28	Facility	50	$3,380.42	$26,255.69	$36,649.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $920.64 / $7,197.00 / $16,843.34	Facility		$920.64	$7,197.00	$16,843.34
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $5,709.90 / $8,070.00 / $17,321.05	Facility	50	$5,709.90	$8,070.00	$17,321.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $607.40 / $607.40 / $607.40	Facility		$607.40	$607.40	$607.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $3,260.00 / $7,668.05	Facility		$643.98	$3,260.00	$7,668.05
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $553.98 / $553.98 / $561.79	Facility		$553.98	$553.98	$561.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,803.00 / $4,563.00 / $7,000.00	Facility		$1,803.00	$4,563.00	$7,000.00