Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.89 / $3,839.00 / $8,451.00	Facility		$221.89	$3,839.00	$8,451.00
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 $179.16 / $526.00 / $2,269.00	Facility		$179.16	$526.00	$2,269.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $346.79 / $346.79	Facility		$346.79	$346.79	$346.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $231.12 / $4,761.00 / $8,451.00	Facility		$231.12	$4,761.00	$8,451.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $526.00 / $2,269.00	Facility		$179.16	$526.00	$2,269.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $153.06 / $153.06 / $1,336.21	Facility		$153.06	$153.06	$1,336.21
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00