Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,629.00	Facility		$617.00	$2,326.00	$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 $409.31 / $409.31 / $409.31	Facility		$409.31	$409.31	$409.31
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $250.96	Facility	62	$250.96	$250.96	$250.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $40.15	Facility	AS	$40.15	$40.15	$40.15
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 $409.31 / $409.31 / $409.31	Facility		$409.31	$409.31	$409.31
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $250.96	Facility	62	$250.96	$250.96	$250.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $40.15	Facility	AS	$40.15	$40.15	$40.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $350.62 / $350.62 / $378.12	Facility		$350.62	$350.62	$378.12
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $316.02 / $316.02 / $316.02	Facility	62	$316.02	$316.02	$316.02
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00