Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.84 / $6,012.00 / $21,099.65	Facility		$1,453.84	$6,012.00	$21,099.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,328.00 / $10,328.00 / $10,328.00	Facility	50	$10,328.00	$10,328.00	$10,328.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $726.93 / $9,085.14 / $14,456.86	Facility	52	$726.93	$9,085.14	$14,456.86
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 $1,589.74 / $1,589.74 / $1,589.74	Facility		$1,589.74	$1,589.74	$1,589.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,406.55 / $7,825.92 / $17,492.86	Facility		$3,406.55	$7,825.92	$17,492.86
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $4,927.08 / $4,927.08 / $7,341.26	Facility	52	$4,927.08	$4,927.08	$7,341.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,453.84 / $6,029.00 / $20,466.00	Facility		$1,453.84	$6,029.00	$20,466.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $10,328.00 / $10,328.00 / $10,328.00	Facility	50	$10,328.00	$10,328.00	$10,328.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $726.93 / $9,324.03 / $14,456.86	Facility	52	$726.93	$9,324.03	$14,456.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,589.74 / $1,589.74 / $1,589.74	Facility		$1,589.74	$1,589.74	$1,589.74
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,766.11	Facility		$1,370.73	$1,370.73	$1,766.11
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