Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.07 / $2,954.00 / $7,746.56	Facility		$602.07	$2,954.00	$7,746.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.42 / $101.36 / $101.36	Facility	52	$96.42	$101.36	$101.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,102.54 / $3,024.89 / $12,318.64	Facility		$2,102.54	$3,024.89	$12,318.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $424.54 / $424.54 / $424.54	Facility		$424.54	$424.54	$424.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,305.95 / $4,358.68 / $7,666.09	Facility		$1,305.95	$4,358.68	$7,666.09
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,884.01 / $2,934.86 / $7,252.25	Facility		$1,884.01	$2,934.86	$7,252.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $602.07 / $2,908.62 / $7,443.54	Facility		$602.07	$2,908.62	$7,443.54
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $101.36 / $101.36 / $101.36	Facility	52	$101.36	$101.36	$101.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.60 / $263.60 / $263.60	Facility		$263.60	$263.60	$263.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $1,225.90 / $2,316.65	Facility		$219.76	$1,225.90	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $188.99 / $262.70	Facility		$188.99	$188.99	$262.70
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00