Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $4,051.00 / $10,247.00	Facility		$540.00	$4,051.00	$10,247.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,525.58 / $7,703.36 / $17,351.52	Facility	50	$1,525.58	$7,703.36	$17,351.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,851.72 / $7,741.02 / $36,899.26	Facility		$5,851.72	$7,741.02	$36,899.26
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 $848.75 / $16,138.09 / $41,225.58	Facility		$848.75	$16,138.09	$41,225.58
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $51,085.27 / $51,085.27 / $51,085.27	Facility	22	$51,085.27	$51,085.27	$51,085.27
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,573.30 / $12,926.85 / $24,832.37	Facility	50	$1,573.30	$12,926.85	$24,832.37
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,383.56 / $7,741.02 / $18,460.25	Facility		$5,383.56	$7,741.02	$18,460.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $696.74 / $4,993.00 / $10,247.00	Facility		$696.74	$4,993.00	$10,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,092.84 / $7,966.50 / $17,351.52	Facility	50	$1,092.84	$7,966.50	$17,351.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $461.42 / $461.42 / $525.79	Facility		$461.42	$461.42	$525.79
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