Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$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 $1,963.31 / $1,963.31 / $1,963.31	Facility		$1,963.31	$1,963.31	$1,963.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,963.31 / $1,963.31 / $1,963.31	Facility		$1,963.31	$1,963.31	$1,963.31
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,686.44 / $1,686.44 / $2,018.65	Facility		$1,686.44	$1,686.44	$2,018.65
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