Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.81 / $5,079.00 / $13,326.00	Facility		$1,173.81	$5,079.00	$13,326.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $43,981.00	Facility		$13,531.00	$27,840.00	$43,981.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $1,282.30 / $1,282.30	Facility		$1,282.30	$1,282.30	$1,282.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,526.00 / $13,326.00	Facility		$1,301.00	$5,526.00	$13,326.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $1,282.30 / $1,282.30	Facility		$1,282.30	$1,282.30	$1,282.30
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,105.93 / $1,105.93 / $1,343.00	Facility		$1,105.93	$1,105.93	$1,343.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,904.00	Facility		$2,468.00	$4,563.00	$9,904.00