Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,264.00 / $9,534.00	Facility		$1,301.00	$4,264.00	$9,534.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $667.95 / $712.96 / $712.96	Facility	52	$667.95	$712.96	$712.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
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 $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,999.96 / $2,999.96 / $2,999.96	Facility		$2,999.96	$2,999.96	$2,999.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $712.96 / $712.96 / $712.96	Facility	52	$712.96	$712.96	$712.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.40 / $1,307.40 / $1,307.40	Facility		$1,307.40	$1,307.40	$1,307.40
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 $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,309.92 / $1,309.92 / $1,412.12	Facility		$1,309.92	$1,309.92	$1,412.12
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00