Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,050.00 / $9,534.00	Facility		$1,020.00	$4,050.00	$9,534.00
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 $1,110.36 / $1,110.36 / $1,110.36	Facility		$1,110.36	$1,110.36	$1,110.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $110.17	Facility	AS	$110.17	$110.17	$110.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.36 / $1,110.36 / $1,110.36	Facility		$1,110.36	$1,110.36	$1,110.36
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $110.17	Facility	AS	$110.17	$110.17	$110.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $722.21 / $851.67 / $946.76	Facility		$722.21	$851.67	$946.76
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