Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,475.00 / $9,676.00	Facility		$1,499.00	$4,475.00	$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 $1,888.69 / $1,888.69 / $1,888.69	Facility		$1,888.69	$1,888.69	$1,888.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.04 / $187.04 / $187.04	Facility	AS	$187.04	$187.04	$187.04
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 $1,888.69 / $1,888.69 / $1,888.69	Facility		$1,888.69	$1,888.69	$1,888.69
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.04 / $187.04 / $187.04	Facility	AS	$187.04	$187.04	$187.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,618.23 / $1,618.23 / $1,784.52	Facility		$1,618.23	$1,618.23	$1,784.52
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