Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,051.00 / $8,427.00	Facility		$1,301.00	$4,051.00	$8,427.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $762.95 / $812.00 / $812.00	Facility	52	$762.95	$812.00	$812.00
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,410.76 / $3,410.76 / $3,410.76	Facility		$3,410.76	$3,410.76	$3,410.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,635.74 / $10,581.56 / $10,581.56	Facility		$6,635.74	$10,581.56	$10,581.56
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $2,872.28 / $2,872.28 / $3,194.98	Facility	52	$2,872.28	$2,872.28	$3,194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,451.00	Facility		$1,013.00	$5,342.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $812.00 / $812.00 / $812.00	Facility	52	$812.00	$812.00	$812.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.60 / $1,552.60 / $1,552.60	Facility		$1,552.60	$1,552.60	$1,552.60
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,455.35 / $1,497.21 / $1,497.21	Facility		$1,455.35	$1,497.21	$1,497.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00