Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.32 / $6,832.00 / $22,475.23	Facility		$935.32	$6,832.00	$22,475.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $465.28 / $467.66 / $467.66	Facility	52	$465.28	$467.66	$467.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $186.11 / $187.06 / $187.06	Facility	53	$186.11	$187.06	$187.06
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 $4,148.05 / $4,148.05 / $12,325.43	Facility		$4,148.05	$4,148.05	$12,325.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $935.32 / $7,175.00 / $14,012.00	Facility		$935.32	$7,175.00	$14,012.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $467.66 / $467.66 / $467.66	Facility	52	$467.66	$467.66	$467.66
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $187.06 / $187.06 / $187.06	Facility	53	$187.06	$187.06	$187.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $754.86 / $901.65	Facility		$754.86	$754.86	$901.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $3,914.00 / $7,000.00	Facility		$2,228.00	$3,914.00	$7,000.00