Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.35 / $5,079.00 / $10,527.00	Facility		$1,336.35	$5,079.00	$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 $1,463.39 / $1,463.39 / $1,463.39	Facility		$1,463.39	$1,463.39	$1,463.39
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $908.75 / $908.75 / $908.75	Facility	62	$908.75	$908.75	$908.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $145.40 / $145.40 / $145.40	Facility	AS	$145.40	$145.40	$145.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,336.35 / $5,342.00 / $10,527.00	Facility		$1,336.35	$5,342.00	$10,527.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,463.39 / $1,463.39 / $1,463.39	Facility		$1,463.39	$1,463.39	$1,463.39
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $908.75 / $908.75 / $908.75	Facility	62	$908.75	$908.75	$908.75
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.40 / $145.40 / $145.40	Facility	AS	$145.40	$145.40	$145.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,254.19 / $1,254.19 / $1,424.96	Facility		$1,254.19	$1,254.19	$1,424.96
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,340.98 / $1,340.98 / $1,340.98	Facility	62	$1,340.98	$1,340.98	$1,340.98
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