Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,500.00 / $8,017.00	Facility		$657.00	$2,500.00	$8,017.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $273.06 / $306.06 / $306.06	Facility	52	$273.06	$306.06	$306.06
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $409.59 / $459.09 / $459.09	Facility	54	$409.59	$459.09	$459.09
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 $664.73 / $664.73 / $664.73	Facility		$664.73	$664.73	$664.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.71 / $7,391.42 / $8,875.18	Facility		$434.71	$7,391.42	$8,875.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,500.00 / $8,017.00	Facility		$832.00	$2,500.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $306.06 / $306.06 / $306.06	Facility	52	$306.06	$306.06	$306.06
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $459.09 / $459.09 / $459.09	Facility	54	$459.09	$459.09	$459.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $664.73 / $664.73	Facility		$664.73	$664.73	$664.73
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $574.91 / $574.91	Facility		$566.00	$574.91	$574.91
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