Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.20 / $4,926.00 / $10,689.00	Facility		$1,421.20	$4,926.00	$10,689.00
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 $1,548.07 / $1,548.07 / $1,548.07	Facility		$1,548.07	$1,548.07	$1,548.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,421.20 / $5,403.00 / $11,515.00	Facility		$1,421.20	$5,403.00	$11,515.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.07 / $1,548.07 / $1,548.07	Facility		$1,548.07	$1,548.07	$1,548.07
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,034.09 / $1,332.58 / $1,332.58	Facility		$1,034.09	$1,332.58	$1,332.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00