Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.14 / $3,839.00 / $8,247.00	Facility		$826.14	$3,839.00	$8,247.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $337.40 / $413.07 / $413.07	Facility	52	$337.40	$413.07	$413.07
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 $826.14 / $4,761.00 / $8,247.00	Facility		$826.14	$4,761.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $413.07 / $413.07 / $413.07	Facility	52	$413.07	$413.07	$413.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $737.93 / $737.93 / $821.76	Facility		$737.93	$737.93	$821.76
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00