Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.48 / $5,100.00 / $29,121.84	Facility		$643.48	$5,100.00	$29,121.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $277.17 / $278.66 / $278.66	Facility	52	$277.17	$278.66	$278.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $110.87 / $111.46 / $111.46	Facility	53	$110.87	$111.46	$111.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.32 / $2,853.60 / $4,346.50	Facility		$1,185.32	$2,853.60	$4,346.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $809.86 / $5,016.00 / $26,891.00	Facility		$809.86	$5,016.00	$26,891.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $278.66 / $278.66 / $278.66	Facility	52	$278.66	$278.66	$278.66
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $111.46 / $111.46 / $111.46	Facility	53	$111.46	$111.46	$111.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $390.30 / $449.10 / $527.03	Facility		$390.30	$449.10	$527.03
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