Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.00 / $7,065.70 / $28,622.43	Facility		$1,823.00	$7,065.70	$28,622.43
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,943.88 / $10,943.88 / $10,943.88	Facility	22	$10,943.88	$10,943.88	$10,943.88
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 $1,938.95 / $1,938.95 / $1,938.95	Facility		$1,938.95	$1,938.95	$1,938.95
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,670.43 / $26,465.70 / $62,059.29	Facility		$5,670.43	$26,465.70	$62,059.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,777.91 / $7,254.25 / $29,831.32	Facility		$1,777.91	$7,254.25	$29,831.32
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $10,943.88 / $10,943.88 / $10,943.88	Facility	22	$10,943.88	$10,943.88	$10,943.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,938.95 / $1,938.95 / $1,938.95	Facility		$1,938.95	$1,938.95	$1,938.95
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,665.89 / $1,665.89 / $1,929.14	Facility		$1,665.89	$1,665.89	$1,929.14
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,615.44 / $1,615.44 / $1,615.44	Facility	62	$1,615.44	$1,615.44	$1,615.44
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