Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.97 / $8,247.00 / $19,058.91	Facility		$1,586.97	$8,247.00	$19,058.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.01 / $1,260.01 / $1,260.01	Facility		$1,260.01	$1,260.01	$1,260.01
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $783.15	Facility	62	$783.15	$783.15	$783.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,497.51 / $14,045.14 / $31,051.66	Facility		$5,497.51	$14,045.14	$31,051.66
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $24,724.99 / $24,724.99 / $24,724.99	Facility	22	$24,724.99	$24,724.99	$24,724.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $8,017.00 / $20,065.34	Facility		$1,519.00	$8,017.00	$20,065.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.01 / $1,260.01 / $1,260.01	Facility		$1,260.01	$1,260.01	$1,260.01
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $783.15	Facility	62	$783.15	$783.15	$783.15
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,083.97 / $1,083.97 / $1,408.95	Facility		$1,083.97	$1,083.97	$1,408.95
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,326.61 / $1,326.61 / $1,326.61	Facility	62	$1,326.61	$1,326.61	$1,326.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,334.00 / $13,868.00	Facility		$3,028.00	$5,334.00	$13,868.00