Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,839.00 / $8,113.00	Facility		$768.00	$3,839.00	$8,113.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $122.01 / $122.71 / $122.71	Facility	53	$122.01	$122.71	$122.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $57,255.43	Facility		$13,531.00	$27,840.00	$57,255.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,070.00 / $8,451.00	Facility		$954.00	$4,070.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $122.71 / $122.71 / $122.71	Facility	53	$122.71	$122.71	$122.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $459.32 / $460.45 / $496.41	Facility		$459.32	$460.45	$496.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $7,935.00 / $17,108.00	Facility		$3,742.00	$7,935.00	$17,108.00