Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.70 / $2,561.00 / $9,119.23	Facility		$906.70	$2,561.00	$9,119.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,013.29 / $1,013.29	Facility		$1,013.29	$1,013.29	$1,013.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $100.85	Facility	AS	$100.85	$100.85	$100.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,483.00 / $8,427.00	Facility		$800.00	$2,483.00	$8,427.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,013.29 / $1,013.29	Facility		$1,013.29	$1,013.29	$1,013.29
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $100.85	Facility	AS	$100.85	$100.85	$100.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $726.02 / $867.26 / $867.26	Facility		$726.02	$867.26	$867.26
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