Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,741.00 / $7,175.00	Facility		$428.00	$1,741.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $72.17 / $72.17 / $96.20	Facility	54	$72.17	$72.17	$96.20
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 $160.71 / $160.71 / $160.71	Facility		$160.71	$160.71	$160.71
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.40 / $527.47 / $810.41	Facility		$378.40	$527.47	$810.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,901.00 / $7,799.00	Facility		$490.00	$1,901.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $72.17 / $72.17 / $96.20	Facility	54	$72.17	$72.17	$96.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $160.71 / $160.71	Facility		$160.71	$160.71	$160.71
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $121.58 / $156.25	Facility		$91.23	$121.58	$156.25
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00