Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.83 / $5,156.00 / $10,204.00	Facility		$647.83	$5,156.00	$10,204.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,070.49 / $5,451.20 / $24,793.56	Facility	50	$1,070.49	$5,451.20	$24,793.56
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 $1,510.75 / $22,209.25 / $39,217.94	Facility		$1,510.75	$22,209.25	$39,217.94
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $30,729.93 / $30,729.93 / $30,729.93	Facility	22	$30,729.93	$30,729.93	$30,729.93
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,445.41 / $15,587.30 / $28,599.18	Facility	50	$3,445.41	$15,587.30	$28,599.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $738.99 / $5,424.00 / $10,247.00	Facility		$738.99	$5,424.00	$10,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,070.49 / $7,341.00 / $24,793.56	Facility	50	$1,070.49	$7,341.00	$24,793.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $489.40 / $557.24	Facility		$489.40	$489.40	$557.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00