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 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
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 $2,047.60 / $2,047.60 / $2,047.60	Facility		$2,047.60	$2,047.60	$2,047.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $202.96	Facility	AS	$202.96	$202.96	$202.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.60 / $2,047.60 / $2,047.60	Facility		$2,047.60	$2,047.60	$2,047.60
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $202.96	Facility	AS	$202.96	$202.96	$202.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,754.92 / $1,754.92 / $2,092.39	Facility		$1,754.92	$1,754.92	$2,092.39
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00