Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.66 / $5,958.00 / $10,510.00	Facility		$1,063.66	$5,958.00	$10,510.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,572.74 / $9,613.50 / $66,000.00	Facility	50	$3,572.74	$9,613.50	$66,000.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,970.81 / $5,438.28 / $104,308.37	Facility		$3,970.81	$5,438.28	$104,308.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,061.25 / $33,332.85 / $55,818.79	Facility		$4,061.25	$33,332.85	$55,818.79
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,190.06 / $46,197.61 / $160,496.37	Facility	50	$5,190.06	$46,197.61	$160,496.37
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,653.13 / $5,538.98 / $32,295.68	Facility		$3,653.13	$5,538.98	$32,295.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,868.00 / $10,510.00	Facility		$1,301.00	$5,868.00	$10,510.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,572.74 / $9,686.15 / $63,522.32	Facility	50	$3,572.74	$9,686.15	$63,522.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,128.90 / $1,128.90 / $1,644.78	Facility		$1,128.90	$1,128.90	$1,644.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,563.00 / $8,261.00	Facility		$2,304.00	$4,563.00	$8,261.00