Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$8,451.00
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 $2,036.65 / $2,036.65 / $2,036.65	Facility		$2,036.65	$2,036.65	$2,036.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $202.26	Facility	AS	$202.26	$202.26	$202.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,036.65 / $2,036.65 / $2,036.65	Facility		$2,036.65	$2,036.65	$2,036.65
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $202.26	Facility	AS	$202.26	$202.26	$202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,707.64 / $1,746.24 / $1,746.24	Facility		$1,707.64	$1,746.24	$1,746.24
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