Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.97 / $4,048.00 / $8,451.00	Facility		$1,020.97	$4,048.00	$8,451.00
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 $1,096.83 / $1,096.83 / $1,096.83	Facility		$1,096.83	$1,096.83	$1,096.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.83 / $1,096.83 / $1,096.83	Facility		$1,096.83	$1,096.83	$1,096.83
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.45 / $954.45 / $1,112.84	Facility		$954.45	$954.45	$1,112.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00