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 $1,784.89 / $1,784.89 / $1,784.89	Facility		$1,784.89	$1,784.89	$1,784.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	AS	$177.02	$177.02	$177.02
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 $1,784.89 / $1,784.89 / $1,784.89	Facility		$1,784.89	$1,784.89	$1,784.89
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	AS	$177.02	$177.02	$177.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,534.97 / $1,534.97 / $1,923.42	Facility		$1,534.97	$1,534.97	$1,923.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00