Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.18 / $3,964.00 / $8,427.00	Facility		$1,039.18	$3,964.00	$8,427.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $519.59 / $554.63 / $554.63	Facility	52	$519.59	$554.63	$554.63
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 $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,335.17 / $2,335.17 / $2,335.17	Facility		$2,335.17	$2,335.17	$2,335.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $554.63 / $554.63 / $554.63	Facility	52	$554.63	$554.63	$554.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $782.90 / $782.90 / $782.90	Facility		$782.90	$782.90	$782.90
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 $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $939.99 / $1,018.90 / $1,018.90	Facility		$939.99	$1,018.90	$1,018.90
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00