Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.56 / $2,747.00 / $8,113.00	Facility		$398.56	$2,747.00	$8,113.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.64 / $10.03 / $10.03	Facility	52	$9.64	$10.03	$10.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $719.77 / $1,418.21	Facility		$320.00	$719.77	$1,418.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $194.64 / $382.30	Facility		$194.64	$194.64	$382.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,964.00 / $8,247.00	Facility		$657.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $10.03 / $10.03 / $10.03	Facility	52	$10.03	$10.03	$10.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $38.60 / $38.60	Facility		$38.60	$38.60	$38.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $714.12 / $1,404.00	Facility		$21.59	$714.12	$1,404.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $18.87 / $31.47	Facility		$18.87	$18.87	$31.47
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00