Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.58 / $4,304.00 / $8,404.00	Facility		$1,141.58	$4,304.00	$8,404.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,047.00 / $9,047.00 / $9,047.00	Facility	22	$9,047.00	$9,047.00	$9,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $533.48 / $570.79 / $570.79	Facility	52	$533.48	$570.79	$570.79
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 $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,410.63 / $2,410.63 / $2,410.63	Facility		$2,410.63	$2,410.63	$2,410.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,694.97 / $4,694.97 / $17,489.81	Facility		$4,694.97	$4,694.97	$17,489.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $4,761.00 / $8,404.00	Facility		$1,286.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $9,047.00 / $9,047.00 / $9,047.00	Facility	22	$9,047.00	$9,047.00	$9,047.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $570.79 / $570.79 / $570.79	Facility	52	$570.79	$570.79	$570.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $843.30 / $843.30 / $843.30	Facility		$843.30	$843.30	$843.30
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 $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $980.85 / $1,046.93 / $1,046.93	Facility		$980.85	$1,046.93	$1,046.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $3,742.00 / $6,368.00	Facility		$1,580.00	$3,742.00	$6,368.00