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 $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,848.40 / $1,848.40 / $1,848.40	Facility		$1,848.40	$1,848.40	$1,848.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $182.94 / $182.94 / $182.94	Facility	AS	$182.94	$182.94	$182.94
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 $1,848.40 / $1,848.40 / $1,848.40	Facility		$1,848.40	$1,848.40	$1,848.40
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.94 / $182.94 / $182.94	Facility	AS	$182.94	$182.94	$182.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,583.11 / $1,584.17 / $1,584.17	Facility		$1,583.11	$1,584.17	$1,584.17
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