Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $528.64 / $590.09 / $590.09	Facility	54	$528.64	$590.09	$590.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.66 / $852.66 / $852.66	Facility		$852.66	$852.66	$852.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $2,679.00 / $8,017.00	Facility		$954.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $590.09 / $590.09 / $590.09	Facility	54	$590.09	$590.09	$590.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $852.66 / $852.66 / $852.66	Facility		$852.66	$852.66	$852.66
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $739.75 / $739.75 / $772.65	Facility		$739.75	$739.75	$772.65
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,219.00 / $3,742.00	Facility		$471.00	$1,219.00	$3,742.00