Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,938.00 / $9,534.00	Facility		$594.00	$3,938.00	$9,534.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,949.50 / $9,026.20 / $18,636.75	Facility	50	$3,949.50	$9,026.20	$18,636.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,720.93 / $37,135.83	Facility		$2,716.87	$3,720.93	$37,135.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,408.63 / $14,424.66 / $24,092.03	Facility		$2,408.63	$14,424.66	$24,092.03
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,332.03 / $15,513.96 / $32,020.43	Facility	50	$3,332.03	$15,513.96	$32,020.43
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,499.51 / $3,789.83 / $29,932.83	Facility		$2,499.51	$3,789.83	$29,932.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $781.72 / $3,839.00 / $9,016.11	Facility		$781.72	$3,839.00	$9,016.11
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,949.50 / $8,264.31 / $18,636.75	Facility	50	$3,949.50	$8,264.31	$18,636.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $636.84 / $636.84 / $636.84	Facility		$636.84	$636.84	$636.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $547.89 / $547.89 / $681.98	Facility		$547.89	$547.89	$681.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,879.00 / $7,508.00	Facility		$1,843.00	$3,879.00	$7,508.00