Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,520.02 / $5,750.00	Facility		$540.00	$1,520.02	$5,750.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.86 / $215.40 / $215.40	Facility	52	$191.86	$215.40	$215.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.79 / $323.10 / $323.10	Facility	54	$287.79	$323.10	$323.10
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 $483.95 / $483.95 / $483.95	Facility		$483.95	$483.95	$483.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $585.71 / $1,286.68	Facility		$256.00	$585.71	$1,286.68
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $537.61 / $537.61 / $537.61	Facility	52	$537.61	$537.61	$537.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,569.00 / $7,175.00	Facility		$540.00	$1,569.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $215.40 / $215.40 / $215.40	Facility	52	$215.40	$215.40	$215.40
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $323.10 / $323.10 / $323.10	Facility	54	$323.10	$323.10	$323.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $483.95 / $483.95	Facility		$483.95	$483.95	$483.95
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $411.51 / $411.51 / $415.92	Facility		$411.51	$411.51	$415.92
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00