Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $4,680.00 / $9,676.00	Facility		$1,462.00	$4,680.00	$9,676.00
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 $1,753.40 / $1,753.40 / $1,753.40	Facility		$1,753.40	$1,753.40	$1,753.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $174.63	Facility	AS	$174.63	$174.63	$174.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,753.40 / $1,753.40 / $1,753.40	Facility		$1,753.40	$1,753.40	$1,753.40
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $174.63	Facility	AS	$174.63	$174.63	$174.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,442.36 / $1,505.50 / $1,505.50	Facility		$1,442.36	$1,505.50	$1,505.50
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