Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $2,068.00 / $7,629.00	Facility		$953.00	$2,068.00	$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 $1,115.59 / $1,115.59 / $1,115.59	Facility		$1,115.59	$1,115.59	$1,115.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,266.00 / $8,017.00	Facility		$800.00	$2,266.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.59 / $1,115.59 / $1,115.59	Facility		$1,115.59	$1,115.59	$1,115.59
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $959.45 / $959.45 / $1,007.77	Facility		$959.45	$959.45	$1,007.77
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00