Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $9,534.00	Facility		$1,499.00	$4,048.00	$9,534.00
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 $1,668.85 / $1,668.85 / $1,668.85	Facility		$1,668.85	$1,668.85	$1,668.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,993.00 / $10,247.00	Facility		$1,301.00	$4,993.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,668.85 / $1,668.85 / $1,668.85	Facility		$1,668.85	$1,668.85	$1,668.85
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,368.22 / $1,440.88 / $1,440.88	Facility		$1,368.22	$1,440.88	$1,440.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $4,563.00 / $8,261.00	Facility		$2,228.00	$4,563.00	$8,261.00