Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $425.21 / $427.16 / $427.16	Facility	53	$425.21	$427.16	$427.16
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
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $427.16 / $427.16 / $427.16	Facility	53	$427.16	$427.16	$427.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,727.48 / $1,727.48 / $2,079.21	Facility		$1,727.48	$1,727.48	$2,079.21
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00