Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.63 / $4,722.00 / $33,885.48	Facility		$871.63	$4,722.00	$33,885.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,491.54 / $20,491.54 / $20,491.54	Facility	50	$20,491.54	$20,491.54	$20,491.54
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 $909.46 / $909.46 / $909.46	Facility		$909.46	$909.46	$909.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,164.40 / $34,048.37 / $62,359.97	Facility		$7,164.40	$34,048.37	$62,359.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,993.00 / $33,885.48	Facility		$832.00	$4,993.00	$33,885.48
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $20,491.54 / $20,491.54 / $20,491.54	Facility	50	$20,491.54	$20,491.54	$20,491.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $909.46 / $909.46 / $909.46	Facility		$909.46	$909.46	$909.46
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $614.25 / $796.65 / $796.65	Facility		$614.25	$796.65	$796.65
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