Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $4,725.03 / $10,527.00	Facility		$1,462.00	$4,725.03	$10,527.00
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 $1,738.20 / $1,738.20 / $1,738.20	Facility		$1,738.20	$1,738.20	$1,738.20
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.03 / $2,068.60 / $32,839.53	Facility		$594.03	$2,068.60	$32,839.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,421.26 / $5,079.00 / $10,689.00	Facility		$1,421.26	$5,079.00	$10,689.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,738.20 / $1,738.20 / $1,738.20	Facility		$1,738.20	$1,738.20	$1,738.20
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,797.12	Facility		$1,494.41	$1,494.41	$1,797.12
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,693.49 / $1,693.49 / $1,693.49	Facility	62	$1,693.49	$1,693.49	$1,693.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00