Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $7,629.00	Facility		$641.00	$2,371.00	$7,629.00
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 $410.86 / $410.86 / $410.86	Facility		$410.86	$410.86	$410.86
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $251.89 / $251.89 / $251.89	Facility	62	$251.89	$251.89	$251.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.29 / $40.29 / $40.29	Facility	AS	$40.29	$40.29	$40.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $410.86 / $410.86 / $410.86	Facility		$410.86	$410.86	$410.86
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $251.89 / $251.89 / $251.89	Facility	62	$251.89	$251.89	$251.89
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.29 / $40.29 / $40.29	Facility	AS	$40.29	$40.29	$40.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $352.94 / $352.94 / $482.41	Facility		$352.94	$352.94	$482.41
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00