Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,161.00 / $15,695.65	Facility		$1,020.00	$5,161.00	$15,695.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,129.54 / $8,012.57 / $30,997.12	Facility	50	$4,129.54	$8,012.57	$30,997.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,343.84 / $4,579.60 / $56,320.04	Facility		$3,343.84	$4,579.60	$56,320.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,083.53 / $13,624.75 / $30,419.50	Facility		$3,083.53	$13,624.75	$30,419.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,641.55 / $14,425.90 / $40,380.57	Facility	50	$3,641.55	$14,425.90	$40,380.57
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,076.32 / $4,664.39 / $16,909.71	Facility		$3,076.32	$4,664.39	$16,909.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,050.24 / $5,100.00 / $13,521.62	Facility		$1,050.24	$5,100.00	$13,521.62
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,273.46 / $7,957.61 / $30,997.12	Facility	50	$4,273.46	$7,957.61	$30,997.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $937.47 / $937.47 / $1,005.20	Facility		$937.47	$937.47	$1,005.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00