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 / $8,247.00	Facility		$976.00	$3,830.00	$8,247.00
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 $625.29 / $625.29 / $625.29	Facility		$625.29	$625.29	$625.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,534.00 / $8,427.00	Facility		$1,020.00	$4,534.00	$8,427.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $625.29 / $625.29 / $625.29	Facility		$625.29	$625.29	$625.29
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $536.72 / $640.40	Facility		$536.72	$536.72	$640.40
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