Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $3,830.00 / $8,240.00	Facility		$1,059.13	$3,830.00	$8,240.00
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 $1,155.76 / $1,155.76 / $1,155.76	Facility		$1,155.76	$1,155.76	$1,155.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $4,597.00 / $8,404.00	Facility		$1,059.13	$4,597.00	$8,404.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.76 / $1,155.76 / $1,155.76	Facility		$1,155.76	$1,155.76	$1,155.76
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $995.59 / $995.59 / $1,069.04	Facility		$995.59	$995.59	$1,069.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00