Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.35 / $5,526.00 / $18,622.40	Facility		$1,628.35	$5,526.00	$18,622.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $814.18 / $906.47 / $906.47	Facility	52	$814.18	$906.47	$906.47
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 $1,984.25 / $1,984.25 / $1,984.25	Facility		$1,984.25	$1,984.25	$1,984.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.79 / $10,751.04 / $21,570.00	Facility		$4,252.79	$10,751.04	$21,570.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $5,627.42 / $15,580.00	Facility		$1,544.00	$5,627.42	$15,580.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $906.47 / $906.47 / $906.47	Facility	52	$906.47	$906.47	$906.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,984.25 / $1,984.25 / $1,984.25	Facility		$1,984.25	$1,984.25	$1,984.25
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $196.14	Facility	AS	$196.14	$196.14	$196.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,709.82 / $1,709.82 / $2,333.08	Facility		$1,709.82	$1,709.82	$2,333.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,368.00 / $11,238.00	Facility		$3,340.00	$6,368.00	$11,238.00