Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $819.17 / $871.22 / $871.22	Facility	52	$819.17	$871.22	$871.22
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 $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,661.27 / $3,661.27 / $3,661.27	Facility		$3,661.27	$3,661.27	$3,661.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $871.22 / $871.22 / $871.22	Facility	52	$871.22	$871.22	$871.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.60 / $1,630.60 / $1,630.60	Facility		$1,630.60	$1,630.60	$1,630.60
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 $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,568.69 / $1,608.62 / $1,608.62	Facility		$1,568.69	$1,608.62	$1,608.62
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