Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,838.00 / $8,427.00	Facility		$954.00	$3,838.00	$8,427.00
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 $678.50 / $678.50 / $678.50	Facility		$678.50	$678.50	$678.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $67.22	Facility	AS	$67.22	$67.22	$67.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,606.00 / $10,009.00	Facility		$1,013.00	$4,606.00	$10,009.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.50 / $678.50 / $678.50	Facility		$678.50	$678.50	$678.50
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $67.22	Facility	AS	$67.22	$67.22	$67.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $582.76 / $582.76 / $803.88	Facility		$582.76	$582.76	$803.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00