Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.37 / $1,856.50 / $5,750.00	Facility		$228.37	$1,856.50	$5,750.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.50 / $110.32 / $231.15	Facility	53	$32.50	$110.32	$231.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $699.87 / $1,392.35	Facility		$320.00	$699.87	$1,392.35
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $342.91 / $342.91 / $342.91	Facility		$342.91	$342.91	$342.91
Emblem Health Facility/Professional Facility Modifier 53 Low / Median / High Price $171.82 / $171.82 / $171.82	Facility	53	$171.82	$171.82	$171.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $998.62 / $1,908.49 / $3,417.97	Facility		$998.62	$1,908.49	$3,417.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $317.31 / $1,819.00 / $5,958.00	Facility		$317.31	$1,819.00	$5,958.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $76.93 / $148.99 / $252.60	Facility	53	$76.93	$148.99	$252.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $350.50 / $350.50 / $350.50	Facility		$350.50	$350.50	$350.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $694.37 / $1,392.35	Facility		$263.52	$694.37	$1,392.35
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.24 / $208.74 / $446.63	Facility		$151.24	$208.74	$446.63
UPMC Health Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $75.93 / $90.06 / $186.71	Facility	53	$75.93	$90.06	$186.71
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00