Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,066.00 / $7,763.00	Facility		$749.00	$3,066.00	$7,763.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $115.81	Facility		$115.81	$115.81	$115.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $11.30	Facility	AS	$11.30	$11.30	$11.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,748.00 / $8,017.00	Facility		$749.00	$3,748.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $115.81	Facility		$115.81	$115.81	$115.81
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $11.30	Facility	AS	$11.30	$11.30	$11.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $97.87 / $163.47	Facility		$97.87	$97.87	$163.47
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00