Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $5,868.00 / $19,999.00	Facility		$1,569.00	$5,868.00	$19,999.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $885.05 / $984.13 / $984.13	Facility	52	$885.05	$984.13	$984.13
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 $2,155.96 / $2,155.96 / $2,155.96	Facility		$2,155.96	$2,155.96	$2,155.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,002.59 / $13,088.79 / $18,361.20	Facility		$8,002.59	$13,088.79	$18,361.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,370.00 / $19,502.00	Facility		$1,519.00	$6,370.00	$19,502.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $984.13 / $984.13 / $984.13	Facility	52	$984.13	$984.13	$984.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,155.96 / $2,155.96 / $2,155.96	Facility		$2,155.96	$2,155.96	$2,155.96
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,857.75 / $1,857.75 / $2,609.10	Facility		$1,857.75	$1,857.75	$2,609.10
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