Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,889.48 / $6,432.00	Facility		$490.00	$1,889.48	$6,432.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.46 / $444.46 / $444.46	Facility		$444.46	$444.46	$444.46
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $272.63 / $272.63 / $272.63	Facility	62	$272.63	$272.63	$272.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	AS	$43.62	$43.62	$43.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.26 / $1,571.16 / $2,601.73	Facility		$1,511.26	$1,571.16	$2,601.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,819.00 / $7,197.00	Facility		$480.00	$1,819.00	$7,197.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $444.46 / $444.46 / $444.46	Facility		$444.46	$444.46	$444.46
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $272.63 / $272.63 / $272.63	Facility	62	$272.63	$272.63	$272.63
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	AS	$43.62	$43.62	$43.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.78 / $380.78 / $522.82	Facility		$380.78	$380.78	$522.82
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $492.10 / $492.10 / $492.10	Facility	62	$492.10	$492.10	$492.10
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00