Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $8,017.00 / $33,078.00	Facility		$1,426.00	$8,017.00	$33,078.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $20,436.97 / $20,436.97 / $20,436.97	Facility	22	$20,436.97	$20,436.97	$20,436.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,534.39 / $9,907.00 / $14,747.15	Facility	50	$6,534.39	$9,907.00	$14,747.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $43,981.00	Facility		$13,531.00	$27,840.00	$43,981.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.96 / $1,300.96 / $1,300.96	Facility		$1,300.96	$1,300.96	$1,300.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,986.22 / $23,999.94 / $42,323.94	Facility		$6,986.22	$23,999.94	$42,323.94
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $13,114.00 / $19,816.16 / $23,566.53	Facility	50	$13,114.00	$19,816.16	$23,566.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,344.72 / $7,723.46 / $33,078.00	Facility		$1,344.72	$7,723.46	$33,078.00
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $20,436.97 / $20,436.97 / $20,436.97	Facility	22	$20,436.97	$20,436.97	$20,436.97
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,534.39 / $9,907.00 / $14,747.15	Facility	50	$6,534.39	$9,907.00	$14,747.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.96 / $1,300.96 / $1,300.96	Facility		$1,300.96	$1,300.96	$1,300.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,121.18 / $1,121.18 / $1,549.94	Facility		$1,121.18	$1,121.18	$1,549.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,591.00 / $6,573.00 / $10,875.00	Facility		$3,591.00	$6,573.00	$10,875.00