Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
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 $620.10 / $620.10 / $620.10	Facility		$620.10	$620.10	$620.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $61.67	Facility	AS	$61.67	$61.67	$61.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $620.10 / $620.10 / $620.10	Facility		$620.10	$620.10	$620.10
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $61.67	Facility	AS	$61.67	$61.67	$61.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $531.70 / $531.70 / $695.98	Facility		$531.70	$531.70	$695.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00