Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.70 / $7,149.64 / $15,397.75	Facility		$1,644.70	$7,149.64	$15,397.75
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $22,556.74 / $22,556.74 / $22,556.74	Facility	22	$22,556.74	$22,556.74	$22,556.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,953.41 / $8,716.16 / $17,037.57	Facility	50	$4,953.41	$8,716.16	$17,037.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,388.79 / $6,010.73 / $47,690.13	Facility		$4,388.79	$6,010.73	$47,690.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $10,972.24 / $28,970.26	Facility		$8,639.91	$10,972.24	$28,970.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.32 / $14,078.35 / $26,191.45	Facility		$3,210.32	$14,078.35	$26,191.45
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,113.61 / $6,113.61 / $18,728.18	Facility	22	$6,113.61	$6,113.61	$18,728.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,060.01 / $11,892.20 / $25,107.17	Facility	50	$4,060.01	$11,892.20	$25,107.17
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,037.67 / $5,948.48 / $32,372.20	Facility		$4,037.67	$5,948.48	$32,372.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $7,217.26 / $16,856.16	Facility		$1,544.00	$7,217.26	$16,856.16
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $22,556.74 / $22,556.74 / $22,556.74	Facility	22	$22,556.74	$22,556.74	$22,556.74
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,720.91 / $9,365.94 / $20,508.33	Facility	50	$4,720.91	$9,365.94	$20,508.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $642.45 / $642.45 / $723.97	Facility		$642.45	$642.45	$723.97
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