Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $8,207.37 / $28,489.39	Facility		$1,544.00	$8,207.37	$28,489.39
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $628.10 / $628.10 / $38,099.43	Facility	52	$628.10	$628.10	$38,099.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,877.85 / $23,250.68 / $46,556.63	Facility		$6,877.85	$23,250.68	$46,556.63
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $1,408.00 / $1,408.00 / $1,408.00	Facility	22	$1,408.00	$1,408.00	$1,408.00
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $7,652.87 / $7,652.87 / $7,652.87	Facility	52	$7,652.87	$7,652.87	$7,652.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,507.67 / $7,182.86 / $28,123.82	Facility		$1,507.67	$7,182.86	$28,123.82
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $628.10 / $628.10 / $38,099.43	Facility	52	$628.10	$628.10	$38,099.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,160.82 / $1,160.82 / $3,010.10	Facility		$1,160.82	$1,160.82	$3,010.10
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,850.00 / $2,884.53 / $2,884.53	Facility	62	$2,850.00	$2,884.53	$2,884.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $11,238.00	Facility		$3,340.00	$7,000.00	$11,238.00