Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.55 / $3,830.00 / $8,240.00	Facility		$978.55	$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 $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $920.58 / $920.58 / $1,096.49	Facility		$920.58	$920.58	$1,096.49
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