Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.99 / $4,262.00 / $12,883.90	Facility		$1,498.99	$4,262.00	$12,883.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $749.50 / $833.94 / $833.94	Facility	52	$749.50	$833.94	$833.94
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 $1,821.59 / $1,821.59 / $1,821.59	Facility		$1,821.59	$1,821.59	$1,821.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $180.03	Facility	AS	$180.03	$180.03	$180.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,865.71 / $23,743.75 / $28,431.81	Facility		$14,865.71	$23,743.75	$28,431.81
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $12,733.52 / $12,733.52 / $12,733.52	Facility	22	$12,733.52	$12,733.52	$12,733.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,451.15 / $5,470.00 / $13,326.00	Facility		$1,451.15	$5,470.00	$13,326.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $833.94 / $833.94 / $833.94	Facility	52	$833.94	$833.94	$833.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,821.59 / $1,821.59 / $1,821.59	Facility		$1,821.59	$1,821.59	$1,821.59
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $180.03	Facility	AS	$180.03	$180.03	$180.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,495.70 / $1,572.17 / $1,572.17	Facility		$1,495.70	$1,572.17	$1,572.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $8,026.00	Facility		$2,332.00	$3,879.00	$8,026.00