Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,605.00 / $7,317.00	Facility		$540.00	$2,605.00	$7,317.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $335.29 / $377.38 / $476.75	Facility	54	$335.29	$377.38	$476.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Facility		$550.91	$550.91	$550.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.51 / $3,620.14 / $6,280.46	Facility		$464.51	$3,620.14	$6,280.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $712.90 / $2,543.00 / $8,017.00	Facility		$712.90	$2,543.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $377.38 / $377.38 / $476.75	Facility	54	$377.38	$377.38	$476.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Facility		$550.91	$550.91	$550.91
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $411.56 / $472.12 / $472.12	Facility		$411.56	$472.12	$472.12
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00