Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.97 / $9,666.54 / $33,893.36	Facility		$1,974.97	$9,666.54	$33,893.36
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,679.68 / $16,501.68 / $16,501.68	Facility	22	$14,679.68	$16,501.68	$16,501.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,958.46 / $8,307.18 / $69,495.81	Facility		$4,958.46	$8,307.18	$69,495.81
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 $8,964.59 / $22,614.64 / $45,436.08	Facility		$8,964.59	$22,614.64	$45,436.08
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $43,035.28 / $43,035.28 / $43,035.28	Facility	22	$43,035.28	$43,035.28	$43,035.28
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,958.46 / $8,845.37 / $44,214.44	Facility		$4,958.46	$8,845.37	$44,214.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,804.82 / $8,923.00 / $35,575.76	Facility		$1,804.82	$8,923.00	$35,575.76
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $14,679.68 / $14,679.68 / $16,501.68	Facility	22	$14,679.68	$14,679.68	$16,501.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,195.25 / $1,195.25 / $1,527.11	Facility		$1,195.25	$1,195.25	$1,527.11
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