Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,451.00	Facility		$1,301.00	$2,747.00	$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 $2,219.06 / $2,219.06 / $2,219.06	Facility		$2,219.06	$2,219.06	$2,219.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $218.70 / $218.70	Facility	AS	$218.70	$218.70	$218.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,524.00	Facility		$1,013.00	$4,761.00	$8,524.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,219.06 / $2,219.06 / $2,219.06	Facility		$2,219.06	$2,219.06	$2,219.06
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $218.70 / $218.70	Facility	AS	$218.70	$218.70	$218.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,903.73 / $1,903.73 / $2,421.98	Facility		$1,903.73	$1,903.73	$2,421.98
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00