Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.27 / $4,048.00 / $10,885.38	Facility		$1,231.27	$4,048.00	$10,885.38
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $11,691.22 / $11,691.22 / $11,691.22	Facility	22	$11,691.22	$11,691.22	$11,691.22
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 $1,346.11 / $1,346.11 / $1,346.11	Facility		$1,346.11	$1,346.11	$1,346.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $133.62	Facility	AS	$133.62	$133.62	$133.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,739.62 / $6,873.80 / $28,888.51	Facility		$3,739.62	$6,873.80	$28,888.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,231.26 / $4,894.00 / $10,247.00	Facility		$1,231.26	$4,894.00	$10,247.00
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $11,691.22 / $11,691.22 / $11,691.22	Facility	22	$11,691.22	$11,691.22	$11,691.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.11 / $1,346.11 / $1,346.11	Facility		$1,346.11	$1,346.11	$1,346.11
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $133.62	Facility	AS	$133.62	$133.62	$133.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,143.92 / $1,160.27 / $1,160.27	Facility		$1,143.92	$1,160.27	$1,160.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00