Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,344.23 / $7,762.47	Facility		$426.58	$2,344.23	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	50	$12,882.50	$12,882.50	$12,882.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $16,595.87	Facility		$2,754.23	$5,495.41	$16,595.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $11,481.54 / $13,803.84	Facility	50	$4,365.16	$11,481.54	$13,803.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,089.30 / $7,413.10	Facility		$537.03	$2,089.30	$7,413.10
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	50	$12,882.50	$12,882.50	$12,882.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,041.74	Facility		$1,071.52	$1,071.52	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $575.44 / $954.99	Facility		$186.21	$575.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $6,456.54	Facility		$501.19	$2,238.72	$6,456.54