Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.08 / $3,964.00 / $8,427.00	Facility		$1,235.08	$3,964.00	$8,427.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $617.54 / $658.82 / $658.82	Facility	52	$617.54	$658.82	$658.82
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.42 / $2,775.42 / $2,775.42	Facility		$2,775.42	$2,775.42	$2,775.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $658.82 / $658.82 / $658.82	Facility	52	$658.82	$658.82	$658.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.40 / $1,170.40 / $1,170.40	Facility		$1,170.40	$1,170.40	$1,170.40
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,212.29 / $1,212.29 / $1,277.91	Facility		$1,212.29	$1,212.29	$1,277.91
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