Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,788.00	Facility		$1,499.00	$4,680.00	$9,788.00
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 $2,043.18 / $2,043.18 / $2,043.18	Facility		$2,043.18	$2,043.18	$2,043.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,342.00 / $10,689.00	Facility		$1,301.00	$5,342.00	$10,689.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,043.18 / $2,043.18 / $2,043.18	Facility		$2,043.18	$2,043.18	$2,043.18
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,758.75 / $1,758.75 / $1,788.33	Facility		$1,758.75	$1,758.75	$1,788.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00