Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,787.12 / $12,353.00 / $28,391.37	Facility		$3,787.12	$12,353.00	$28,391.37
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,070.00 / $12,526.36 / $21,367.48	Facility	22	$4,070.00	$12,526.36	$21,367.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,958.46 / $8,845.37 / $82,209.75	Facility		$4,958.46	$8,845.37	$82,209.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,693.05 / $24,017.43 / $44,802.87	Facility		$5,693.05	$24,017.43	$44,802.87
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $9,682.62 / $9,682.62 / $47,662.92	Facility	22	$9,682.62	$9,682.62	$47,662.92
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,958.46 / $9,899.64 / $52,303.27	Facility		$4,958.46	$9,899.64	$52,303.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,410.44 / $10,964.00 / $28,916.14	Facility		$2,410.44	$10,964.00	$28,916.14
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $820.56 / $10,845.66 / $21,367.48	Facility	22	$820.56	$10,845.66	$21,367.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,848.71 / $18,112.62 / $45,258.44	Facility		$12,848.71	$18,112.62	$45,258.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $891.77 / $891.77 / $1,186.52	Facility		$891.77	$891.77	$1,186.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,563.00 / $8,261.00	Facility		$2,304.00	$4,563.00	$8,261.00