Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.26 / $5,958.00 / $21,549.22	Facility		$736.26	$5,958.00	$21,549.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $247.70 / $282.29 / $282.29	Facility	52	$247.70	$282.29	$282.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $99.08 / $112.92 / $112.92	Facility	53	$99.08	$112.92	$112.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23,765.15 / $46,478.00 / $77,850.02	Facility		$23,765.15	$46,478.00	$77,850.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,570.00 / $7,646.00 / $10,557.00	Facility		$6,570.00	$7,646.00	$10,557.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,576.20 / $13,432.72 / $19,946.93	Facility		$3,576.20	$13,432.72	$19,946.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $7,175.00 / $20,619.61	Facility		$832.00	$7,175.00	$20,619.61
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $282.29 / $282.29 / $282.29	Facility	52	$282.29	$282.29	$282.29
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $112.92 / $112.92 / $112.92	Facility	53	$112.92	$112.92	$112.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.00 / $7,278.00 / $10,557.00	Facility		$5,624.00	$7,278.00	$10,557.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $504.28 / $506.97 / $506.97	Facility		$504.28	$506.97	$506.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $7,000.00 / $24,847.00	Facility		$2,468.00	$7,000.00	$24,847.00