Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.86 / $2,266.00 / $7,629.00	Facility		$707.86	$2,266.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.34 / $530.90 / $530.90	Facility	54	$475.34	$530.90	$530.90
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 $778.31 / $778.31 / $778.31	Facility		$778.31	$778.31	$778.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $541.79	Facility	54	$541.79	$541.79	$541.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.21 / $998.78 / $1,997.56	Facility		$800.21	$998.78	$1,997.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $707.86 / $2,266.00 / $8,017.00	Facility		$707.86	$2,266.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $530.90 / $530.90 / $530.90	Facility	54	$530.90	$530.90	$530.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $778.31 / $778.31 / $778.31	Facility		$778.31	$778.31	$778.31
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $541.79	Facility	54	$541.79	$541.79	$541.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $643.05 / $671.12 / $671.12	Facility		$643.05	$671.12	$671.12
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00