Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $3,839.00 / $8,113.00	Facility		$371.14	$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 $401.09 / $560.00 / $2,151.00	Facility		$401.09	$560.00	$2,151.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $777.71 / $777.71 / $777.71	Facility		$777.71	$777.71	$777.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.98 / $6,760.98 / $6,760.98	Facility		$6,760.98	$6,760.98	$6,760.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $432.10 / $432.10 / $432.10	Facility		$432.10	$432.10	$432.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $560.00 / $2,151.00	Facility		$401.09	$560.00	$2,151.00
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $343.89 / $343.89 / $343.89	Facility		$343.89	$343.89	$343.89
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $343.65 / $343.65 / $343.65	Facility	62	$343.65	$343.65	$343.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,574.00 / $3,879.00 / $7,000.00	Facility		$1,574.00	$3,879.00	$7,000.00