Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.08 / $3,839.00 / $15,530.00	Facility		$706.08	$3,839.00	$15,530.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $123.89 / $141.22 / $141.22	Facility	53	$123.89	$141.22	$141.22
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 / $8,956.00 / $12,668.00	Facility		$6,570.00	$8,956.00	$12,668.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $706.08 / $5,868.00 / $22,214.00	Facility		$706.08	$5,868.00	$22,214.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $141.22 / $141.22 / $141.22	Facility	53	$141.22	$141.22	$141.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.00 / $7,463.00 / $23,196.00	Facility		$5,624.00	$7,463.00	$23,196.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $627.73 / $634.09 / $634.09	Facility		$627.73	$634.09	$634.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $7,000.00 / $36,783.00	Facility		$2,468.00	$7,000.00	$36,783.00