Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.98 / $4,050.00 / $8,933.00	Facility		$1,118.98	$4,050.00	$8,933.00
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 $1,240.63 / $1,240.63 / $1,240.63	Facility		$1,240.63	$1,240.63	$1,240.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $123.07	Facility	AS	$123.07	$123.07	$123.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $1,240.63 / $1,240.63	Facility		$1,240.63	$1,240.63	$1,240.63
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $123.07	Facility	AS	$123.07	$123.07	$123.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.85 / $1,071.85 / $1,071.85	Facility		$1,071.85	$1,071.85	$1,071.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $7,000.00	Facility		$2,468.00	$4,563.00	$7,000.00