Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.72 / $4,680.00 / $9,788.00	Facility		$1,469.72	$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 $1,815.20 / $1,815.20 / $1,815.20	Facility		$1,815.20	$1,815.20	$1,815.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $180.56	Facility	AS	$180.56	$180.56	$180.56
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 $1,815.20 / $1,815.20 / $1,815.20	Facility		$1,815.20	$1,815.20	$1,815.20
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $180.56	Facility	AS	$180.56	$180.56	$180.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,557.89 / $1,557.89 / $1,882.98	Facility		$1,557.89	$1,557.89	$1,882.98
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