Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,747.00 / $7,799.00	Facility		$574.00	$2,747.00	$7,799.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $304.49 / $316.42 / $343.92	Facility	54	$304.49	$316.42	$343.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $691.75 / $691.75	Facility		$691.75	$691.75	$691.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.72 / $3,169.17 / $6,028.12	Facility		$1,425.72	$3,169.17	$6,028.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $779.66 / $3,077.00 / $8,017.00	Facility		$779.66	$3,077.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $316.42 / $316.42 / $343.92	Facility	54	$316.42	$316.42	$343.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $691.75 / $691.75	Facility		$691.75	$691.75	$691.75
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $383.40 / $396.10 / $448.16	Facility		$383.40	$396.10	$448.16
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00