Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $5,079.00 / $13,326.00	Facility		$1,499.00	$5,079.00	$13,326.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $680.88 / $758.05 / $758.05	Facility	52	$680.88	$758.05	$758.05
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 $1,659.29 / $1,659.29 / $1,659.29	Facility		$1,659.29	$1,659.29	$1,659.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,660.11 / $10,922.32 / $13,967.94	Facility		$7,660.11	$10,922.32	$13,967.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,868.00 / $13,326.00	Facility		$1,426.00	$5,868.00	$13,326.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $758.05 / $758.05 / $758.05	Facility	52	$758.05	$758.05	$758.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $1,659.29 / $1,659.29	Facility		$1,659.29	$1,659.29	$1,659.29
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,429.66 / $1,429.66 / $1,972.13	Facility		$1,429.66	$1,429.66	$1,972.13
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