Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.16 / $1,340.00 / $6,130.77	Facility		$473.16	$1,340.00	$6,130.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.85 / $319.63 / $354.87	Facility	54	$313.85	$319.63	$354.87
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 $699.73 / $699.73 / $699.73	Facility		$699.73	$699.73	$699.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.21 / $3,397.50 / $4,730.85	Facility		$800.21	$3,397.50	$4,730.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,901.00 / $7,799.00	Facility		$480.00	$1,901.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $319.63 / $319.63 / $354.87	Facility	54	$319.63	$319.63	$354.87
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $699.73 / $699.73 / $699.73	Facility		$699.73	$699.73	$699.73
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $401.39 / $405.42 / $444.39	Facility		$401.39	$405.42	$444.39
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00