Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,509.00	Facility		$1,013.00	$4,761.00	$8,509.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $383.05 / $409.49 / $409.49	Facility	52	$383.05	$409.49	$409.49
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 $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,728.93 / $1,728.93 / $1,728.93	Facility		$1,728.93	$1,728.93	$1,728.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,906.85 / $6,906.85 / $15,516.65	Facility		$6,906.85	$6,906.85	$15,516.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,832.00 / $8,404.00	Facility		$1,283.00	$4,832.00	$8,404.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $409.49 / $409.49 / $409.49	Facility	52	$409.49	$409.49	$409.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.20 / $851.20 / $851.20	Facility		$851.20	$851.20	$851.20
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 $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $751.75 / $751.75 / $751.75	Facility		$751.75	$751.75	$751.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00