Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,534.00 / $8,404.00	Facility		$882.00	$4,534.00	$8,404.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $502.47 / $557.01 / $557.01	Facility	54	$502.47	$557.01	$557.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,354.00 / $8,459.92	Facility		$3,736.00	$4,354.00	$8,459.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.95 / $4,746.96 / $12,553.39	Facility		$4,260.95	$4,746.96	$12,553.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,831.00 / $8,427.00	Facility		$1,013.00	$4,831.00	$8,427.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $557.01 / $557.01 / $557.01	Facility	54	$557.01	$557.01	$557.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $664.23 / $664.23 / $688.44	Facility		$664.23	$664.23	$688.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00