Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,074.84 / $3,074.84 / $3,074.84	Facility		$3,074.84	$3,074.84	$3,074.84
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,074.84 / $3,074.84 / $3,074.84	Facility		$3,074.84	$3,074.84	$3,074.84
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,655.82 / $2,655.82 / $3,561.52	Facility		$2,655.82	$2,655.82	$3,561.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,670.17 / $2,912.00 / $7,000.00	Facility		$1,670.17	$2,912.00	$7,000.00