Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.81 / $152.81 / $152.81	Facility		$152.81	$152.81	$152.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	AS	$14.95	$14.95	$14.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $152.81 / $152.81 / $152.81	Facility		$152.81	$152.81	$152.81
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	AS	$14.95	$14.95	$14.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $131.87 / $141.78	Facility		$131.87	$131.87	$141.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00