Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.77 / $1,758.00 / $6,459.00	Facility		$468.77	$1,758.00	$6,459.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.54 / $248.54 / $389.23	Facility	54	$248.54	$248.54	$389.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.88 / $1,243.29 / $2,566.57	Facility		$780.88	$1,243.29	$2,566.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $562.29 / $2,622.20 / $7,263.00	Facility		$562.29	$2,622.20	$7,263.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $248.54 / $248.54 / $389.23	Facility	54	$248.54	$248.54	$389.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $537.13 / $537.13 / $537.13	Facility		$537.13	$537.13	$537.13
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $375.99 / $375.99 / $375.99	Facility	54	$375.99	$375.99	$375.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $306.69 / $324.68 / $466.67	Facility		$306.69	$324.68	$466.67
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00