Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $3,077.00 / $7,799.00	Facility		$361.13	$3,077.00	$7,799.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.07 / $104.07 / $4,605.77	Facility	52	$104.07	$104.07	$4,605.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.47 / $41.63 / $41.63	Facility	53	$39.47	$41.63	$41.63
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 $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $437.85 / $437.85 / $437.85	Facility		$437.85	$437.85	$437.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.40 / $3,948.26 / $6,705.30	Facility		$1,261.40	$3,948.26	$6,705.30
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $8,064.23 / $8,064.23 / $8,064.23	Facility	52	$8,064.23	$8,064.23	$8,064.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $3,325.96 / $7,799.00	Facility		$574.00	$3,325.96	$7,799.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $104.07 / $4,605.77 / $4,605.77	Facility	52	$104.07	$4,605.77	$4,605.77
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $41.63 / $41.63 / $41.63	Facility	53	$41.63	$41.63	$41.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $318.10 / $318.10 / $318.10	Facility		$318.10	$318.10	$318.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $1,225.90 / $2,316.65	Facility		$225.67	$1,225.90	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.81 / $193.81 / $379.93	Facility		$193.81	$193.81	$379.93
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $358.76 / $358.76 / $358.76	Facility	62	$358.76	$358.76	$358.76
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