Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.66 / $2,747.00 / $9,348.75	Facility		$315.66	$2,747.00	$9,348.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,366.40 / $4,198.27 / $15,492.63	Facility	50	$2,366.40	$4,198.27	$15,492.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,041.12 / $41,934.37	Facility		$2,298.89	$3,041.12	$41,934.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.33 / $3,433.04 / $6,554.00	Facility		$439.33	$3,433.04	$6,554.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $604.75 / $604.75 / $3,958.91	Facility	50	$604.75	$604.75	$3,958.91
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,931.66 / $3,001.19 / $27,590.63	Facility		$1,931.66	$3,001.19	$27,590.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $385.25 / $2,326.00 / $9,153.31	Facility		$385.25	$2,326.00	$9,153.31
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,015.00 / $6,024.83 / $15,492.63	Facility	50	$1,015.00	$6,024.83	$15,492.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $242.11 / $242.11 / $242.11	Facility		$242.11	$242.11	$242.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $209.05 / $209.05	Facility		$196.96	$209.05	$209.05
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00