Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.59 / $1,633.00 / $7,175.00	Facility		$203.59	$1,633.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $126.82 / $138.82 / $138.82	Facility	54	$126.82	$138.82	$138.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $208.02 / $208.02	Facility		$208.02	$208.02	$208.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.36 / $636.94 / $1,997.56	Facility		$516.36	$636.94	$1,997.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,978.00 / $7,799.00	Facility		$540.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $138.82 / $138.82 / $138.82	Facility	54	$138.82	$138.82	$138.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $208.02 / $208.02	Facility		$208.02	$208.02	$208.02
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $177.74 / $502.78	Facility		$177.74	$177.74	$502.78
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00