Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $3,629.15 / $9,534.00	Facility		$574.00	$3,629.15	$9,534.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.82 / $166.69 / $166.69	Facility	52	$158.82	$166.69	$166.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.53 / $66.67 / $66.67	Facility	53	$63.53	$66.67	$66.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,956.00 / $9,100.00	Facility		$3,292.00	$5,956.00	$9,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,865.00 / $5,176.87	Facility		$429.00	$1,865.00	$5,176.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $698.27 / $698.27 / $698.27	Facility		$698.27	$698.27	$698.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.40 / $9,288.42 / $13,392.61	Facility		$3,090.40	$9,288.42	$13,392.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,712.00 / $8,451.00	Facility		$760.00	$3,712.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $166.69 / $166.69 / $166.69	Facility	52	$166.69	$166.69	$166.69
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $66.67 / $66.67 / $66.67	Facility	53	$66.67	$66.67	$66.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $426.80 / $426.80 / $426.80	Facility		$426.80	$426.80	$426.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $1,403.00 / $4,926.09	Facility		$362.56	$1,403.00	$4,926.09
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $310.82 / $310.82 / $445.87	Facility		$310.82	$310.82	$445.87
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00