Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $5,244.55 / $12,504.00	Facility		$810.00	$5,244.55	$12,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,296.00 / $13,296.00 / $13,296.00	Facility	50	$13,296.00	$13,296.00	$13,296.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,547.00 / $8,831.50 / $19,139.18	Facility		$6,547.00	$8,831.50	$19,139.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,304.86 / $8,032.22 / $19,261.15	Facility		$3,304.86	$8,032.22	$19,261.15
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $11,338.76 / $11,338.76 / $11,338.76	Facility	22	$11,338.76	$11,338.76	$11,338.76
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,261.63 / $3,030.72 / $9,336.40	Facility	50	$2,261.63	$3,030.72	$9,336.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $676.13 / $5,526.00 / $12,414.30	Facility		$676.13	$5,526.00	$12,414.30
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $13,296.00 / $13,296.00 / $13,296.00	Facility	50	$13,296.00	$13,296.00	$13,296.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $377.58 / $377.58 / $537.12	Facility		$377.58	$377.58	$537.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00