Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.25 / $6,622.81 / $19,035.18	Facility		$1,230.25	$6,622.81	$19,035.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $37,580.44 / $37,580.44 / $37,580.44	Facility	50	$37,580.44	$37,580.44	$37,580.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.77 / $1,200.77 / $1,200.77	Facility		$1,200.77	$1,200.77	$1,200.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $119.08	Facility	AS	$119.08	$119.08	$119.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,156.02 / $14,993.16 / $25,153.90	Facility		$6,156.02	$14,993.16	$25,153.90
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,878.96 / $18,767.57 / $57,117.84	Facility	22	$6,878.96	$18,767.57	$57,117.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $16,190.61 / $16,190.61 / $16,190.61	Facility	50	$16,190.61	$16,190.61	$16,190.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,209.57 / $6,494.56 / $19,035.18	Facility		$1,209.57	$6,494.56	$19,035.18
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $37,580.44 / $37,580.44 / $37,580.44	Facility	50	$37,580.44	$37,580.44	$37,580.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.77 / $1,200.77 / $1,200.77	Facility		$1,200.77	$1,200.77	$1,200.77
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $119.08	Facility	AS	$119.08	$119.08	$119.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $981.05 / $1,031.14 / $1,031.14	Facility		$981.05	$1,031.14	$1,031.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00