Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.82 / $3,130.23 / $7,171.01	Facility		$417.82	$3,130.23	$7,171.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.84 / $119.84 / $1,282.15	Facility	52	$119.84	$119.84	$1,282.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
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 $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $505.47 / $505.47 / $505.47	Facility		$505.47	$505.47	$505.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,510.00 / $5,098.41 / $9,673.09	Facility		$1,510.00	$5,098.41	$9,673.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $3,120.00 / $7,443.54	Facility		$652.00	$3,120.00	$7,443.54
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $119.84 / $1,282.15 / $1,282.15	Facility	52	$119.84	$1,282.15	$1,282.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $325.80 / $325.80	Facility		$325.80	$325.80	$325.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $1,225.90 / $2,316.65	Facility		$260.75	$1,225.90	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $224.01 / $224.01 / $305.98	Facility		$224.01	$224.01	$305.98
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