Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.47 / $5,281.00 / $14,507.09	Facility		$999.47	$5,281.00	$14,507.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,743.20 / $9,719.00 / $32,512.71	Facility	50	$5,743.20	$9,719.00	$32,512.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,970.81 / $5,438.28 / $78,961.37	Facility		$3,970.81	$5,438.28	$78,961.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $12,837.00 / $28,970.26	Facility		$8,639.91	$12,837.00	$28,970.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.50 / $16,712.83 / $25,161.64	Facility		$1,719.50	$16,712.83	$25,161.64
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,340.75 / $15,364.46 / $32,074.85	Facility	50	$4,340.75	$15,364.46	$32,074.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,653.13 / $5,538.98 / $23,255.66	Facility		$3,653.13	$5,538.98	$23,255.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $5,281.00 / $12,504.00	Facility		$1,283.00	$5,281.00	$12,504.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,000.00 / $9,528.78 / $29,456.76	Facility	50	$6,000.00	$9,528.78	$29,456.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,067.57 / $1,067.57 / $1,205.94	Facility		$1,067.57	$1,067.57	$1,205.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00