Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,715.35 / $7,762.47	Facility		$602.56	$3,715.35	$7,762.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	52	$1,288.25	$1,288.25	$1,288.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $2,454.71	Facility		$389.05	$1,230.27	$2,454.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $9,772.37	Facility		$1,584.89	$5,128.61	$9,772.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $7,244.36	Facility		$707.95	$3,090.30	$7,244.36
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	52	$1,288.25	$1,288.25	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $467.74	Facility		$323.59	$323.59	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $588.84	Facility		$223.87	$478.63	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $6,025.60	Facility		$549.54	$2,398.83	$6,025.60