Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,050.00 / $9,534.00	Facility		$1,461.00	$4,050.00	$9,534.00
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 $1,720.92 / $1,720.92 / $1,720.92	Facility		$1,720.92	$1,720.92	$1,720.92
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $1,069.99	Facility	62	$1,069.99	$1,069.99	$1,069.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,094.11 / $2,094.11 / $2,094.11	Facility		$2,094.11	$2,094.11	$2,094.11
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $2,046.78 / $2,046.78 / $2,046.78	Facility	22	$2,046.78	$2,046.78	$2,046.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $10,247.00	Facility		$1,301.00	$5,350.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,720.92 / $1,720.92 / $1,720.92	Facility		$1,720.92	$1,720.92	$1,720.92
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $1,069.99	Facility	62	$1,069.99	$1,069.99	$1,069.99
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,440.53 / $1,480.09 / $1,480.09	Facility		$1,440.53	$1,480.09	$1,480.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00