Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.86 / $2,747.00 / $7,707.34	Facility		$363.86	$2,747.00	$7,707.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,027.84 / $5,083.75 / $8,012.50	Facility	50	$4,027.84	$5,083.75	$8,012.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $810.75 / $810.75 / $2,722.50	Professional	50	$810.75	$810.75	$2,722.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $675.23 / $700.71 / $1,197.77	Professional	50	$675.23	$700.71	$1,197.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.83 / $1,399.83 / $2,849.23	Facility		$1,399.83	$1,399.83	$2,849.23
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,843.26 / $3,152.78 / $9,253.52	Facility	50	$1,843.26	$3,152.78	$9,253.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,748.00 / $8,017.00	Facility		$657.00	$3,748.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,027.84 / $5,083.75 / $8,012.50	Facility	50	$4,027.84	$5,083.75	$8,012.50
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $810.75 / $1,023.66 / $2,722.50	Professional	50	$810.75	$1,023.66	$2,722.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $658.66 / $658.66	Facility		$658.66	$658.66	$658.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $385.95 / $398.36 / $536.91	Facility		$385.95	$398.36	$536.91
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00