Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,623.00 / $8,017.00	Facility		$540.00	$3,623.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,973.19 / $5,223.81 / $10,000.00	Facility	50	$1,973.19	$5,223.81	$10,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $723.39 / $2,745.00	Professional	50	$233.45	$723.39	$2,745.00
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
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $537.97 / $768.60 / $1,045.28	Professional	50	$537.97	$768.60	$1,045.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.52 / $7,785.40 / $12,215.39	Facility		$1,151.52	$7,785.40	$12,215.39
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,157.05 / $7,640.64 / $42,401.63	Facility	50	$1,157.05	$7,640.64	$42,401.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $654.72 / $3,627.00 / $8,017.00	Facility		$654.72	$3,627.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,285.66 / $5,000.00 / $14,545.77	Facility	50	$1,285.66	$5,000.00	$14,545.77
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $106.40 / $723.39 / $2,745.00	Professional	50	$106.40	$723.39	$2,745.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.70 / $408.01 / $408.01	Facility		$338.70	$408.01	$408.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00