Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,839.00 / $8,427.00	Facility		$976.00	$3,839.00	$8,427.00
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 $767.20 / $767.20 / $767.20	Facility		$767.20	$767.20	$767.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $9,211.00	Facility		$1,020.00	$4,761.00	$9,211.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $767.20 / $767.20 / $767.20	Facility		$767.20	$767.20	$767.20
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $658.64 / $658.64 / $762.05	Facility		$658.64	$658.64	$762.05
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