Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,989.00 / $13,326.00	Facility		$1,499.00	$4,989.00	$13,326.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $707.81 / $787.89 / $787.89	Facility	52	$707.81	$787.89	$787.89
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 $1,723.69 / $1,723.69 / $1,723.69	Facility		$1,723.69	$1,723.69	$1,723.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,942.20 / $3,942.20 / $23,427.07	Facility		$3,942.20	$3,942.20	$23,427.07
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 $787.89 / $787.89 / $787.89	Facility	52	$787.89	$787.89	$787.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,723.69 / $1,723.69 / $1,723.69	Facility		$1,723.69	$1,723.69	$1,723.69
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,485.19 / $1,485.19 / $2,013.36	Facility		$1,485.19	$1,485.19	$2,013.36
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