Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $6,012.00 / $25,553.00	Facility		$1,569.00	$6,012.00	$25,553.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $18,648.05 / $18,648.05 / $18,648.05	Facility	22	$18,648.05	$18,648.05	$18,648.05
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 $1,891.01 / $1,891.01 / $1,891.01	Facility		$1,891.01	$1,891.01	$1,891.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,218.97 / $8,105.06 / $40,461.11	Facility		$6,218.97	$8,105.06	$40,461.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,570.00 / $21,378.00	Facility		$1,519.00	$6,570.00	$21,378.00
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $18,648.05 / $18,648.05 / $18,648.05	Facility	22	$18,648.05	$18,648.05	$18,648.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.01 / $1,891.01 / $1,891.01	Facility		$1,891.01	$1,891.01	$1,891.01
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,630.34 / $1,630.34 / $2,189.50	Facility		$1,630.34	$1,630.34	$2,189.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00