Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,505.00 / $8,427.00	Facility		$617.00	$2,505.00	$8,427.00
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 $408.17 / $408.17 / $408.17	Facility		$408.17	$408.17	$408.17
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,259.45 / $3,259.45 / $3,259.45	Facility		$3,259.45	$3,259.45	$3,259.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $408.17 / $408.17	Facility		$408.17	$408.17	$408.17
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $350.04 / $535.44	Facility		$350.04	$350.04	$535.44
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $503.98 / $503.98 / $503.98	Facility	62	$503.98	$503.98	$503.98
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00