Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.98 / $3,839.00 / $8,113.00	Facility		$897.98	$3,839.00	$8,113.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $421.37 / $448.99 / $448.99	Facility	52	$421.37	$448.99	$448.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $26,041.54 / $39,341.64	Facility		$8,639.91	$26,041.54	$39,341.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.32 / $1,901.32 / $1,901.32	Facility		$1,901.32	$1,901.32	$1,901.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $897.98 / $4,761.00 / $8,247.00	Facility		$897.98	$4,761.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $448.99 / $448.99 / $448.99	Facility	52	$448.99	$448.99	$448.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $751.00 / $751.00 / $751.00	Facility		$751.00	$751.00	$751.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $787.24 / $828.17 / $828.17	Facility		$787.24	$828.17	$828.17
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,020.00 / $6,228.00	Facility		$400.00	$2,020.00	$6,228.00