Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,761.00 / $10,527.00	Facility		$1,499.00	$4,761.00	$10,527.00
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 $1,920.98 / $1,920.98 / $1,920.98	Facility		$1,920.98	$1,920.98	$1,920.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $190.33	Facility	AS	$190.33	$190.33	$190.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,350.00 / $10,689.00	Facility		$1,426.00	$5,350.00	$10,689.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.98 / $1,920.98 / $1,920.98	Facility		$1,920.98	$1,920.98	$1,920.98
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $190.33	Facility	AS	$190.33	$190.33	$190.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,636.22 / $1,636.22 / $1,909.34	Facility		$1,636.22	$1,636.22	$1,909.34
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