Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.19 / $4,894.00 / $18,991.82	Facility		$1,566.19	$4,894.00	$18,991.82
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $808.91 / $899.66 / $899.66	Facility	52	$808.91	$899.66	$899.66
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 $1,967.28 / $1,967.28 / $1,967.28	Facility		$1,967.28	$1,967.28	$1,967.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,619.31 / $7,858.80 / $12,630.71	Facility		$3,619.31	$7,858.80	$12,630.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $5,958.00 / $19,642.43	Facility		$1,461.00	$5,958.00	$19,642.43
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $899.66 / $899.66 / $899.66	Facility	52	$899.66	$899.66	$899.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.28 / $1,967.28 / $1,967.28	Facility		$1,967.28	$1,967.28	$1,967.28
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,617.06 / $1,697.55 / $1,697.55	Facility		$1,617.06	$1,697.55	$1,697.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,904.00	Facility		$2,468.00	$4,563.00	$9,904.00