Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,747.00 / $8,017.00	Facility		$657.00	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.95 / $20.80 / $20.80	Facility	52	$19.95	$20.80	$20.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.98 / $8.32 / $8.32	Facility	53	$7.98	$8.32	$8.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $315.39 / $632.91	Facility		$45.46	$315.39	$632.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $87.21 / $87.21	Facility		$87.21	$87.21	$87.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $258.14 / $258.14	Facility		$258.14	$258.14	$258.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,679.00 / $8,017.00	Facility		$832.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $20.80 / $20.80 / $20.80	Facility	52	$20.80	$20.80	$20.80
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $8.32 / $8.32 / $8.32	Facility	53	$8.32	$8.32	$8.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $302.73 / $602.26	Facility		$45.46	$302.73	$602.26
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $45.07	Facility		$39.36	$39.36	$45.07
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $512.00 / $3,000.00	Facility		$89.00	$512.00	$3,000.00