Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.81 / $2,747.00 / $8,017.00	Facility		$919.81	$2,747.00	$8,017.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.12 / $1,006.12 / $1,006.12	Facility		$1,006.12	$1,006.12	$1,006.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.12 / $1,006.12 / $1,006.12	Facility		$1,006.12	$1,006.12	$1,006.12
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $792.94 / $875.13 / $875.13	Facility		$792.94	$875.13	$875.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00