Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.65 / $130.88 / $130.88	Facility	52	$124.65	$130.88	$130.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.86 / $52.35 / $52.35	Facility	53	$49.86	$52.35	$52.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,109.00	Facility		$491.00	$958.00	$2,109.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $545.01 / $545.01 / $545.01	Facility		$545.01	$545.01	$545.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,796.65 / $3,796.65 / $3,796.65	Facility		$3,796.65	$3,796.65	$3,796.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $130.88 / $130.88 / $130.88	Facility	52	$130.88	$130.88	$130.88
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $52.35 / $52.35 / $52.35	Facility	53	$52.35	$52.35	$52.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $280.39 / $280.39 / $280.39	Facility		$280.39	$280.39	$280.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $942.93 / $2,656.00	Facility		$283.45	$942.93	$2,656.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $292.83	Facility		$243.42	$243.42	$292.83
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