Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,050.00 / $9,534.00	Facility		$1,499.00	$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 $2,733.97 / $2,733.97 / $2,733.97	Facility		$2,733.97	$2,733.97	$2,733.97
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,342.00 / $10,247.00	Facility		$1,301.00	$5,342.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,733.97 / $2,733.97 / $2,733.97	Facility		$2,733.97	$2,733.97	$2,733.97
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,975.54 / $2,344.69 / $2,344.69	Facility		$1,975.54	$2,344.69	$2,344.69
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