Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.00 / $9,618.70 / $21,992.65	Facility		$1,569.00	$9,618.70	$21,992.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,252.29 / $9,199.50 / $39,846.05	Facility	50	$2,252.29	$9,199.50	$39,846.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,471.44 / $4,626.96 / $97,632.62	Facility		$3,471.44	$4,626.96	$97,632.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $1,043.79 / $1,043.79	Facility		$1,043.79	$1,043.79	$1,043.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $103.83	Facility	AS	$103.83	$103.83	$103.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,777.78 / $14,258.73 / $29,314.17	Facility		$5,777.78	$14,258.73	$29,314.17
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,777.78 / $14,561.09 / $32,135.24	Facility	50	$5,777.78	$14,561.09	$32,135.24
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,297.76 / $4,821.28 / $28,944.39	Facility		$3,297.76	$4,821.28	$28,944.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $8,747.09 / $22,919.49	Facility		$1,519.00	$8,747.09	$22,919.49
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,252.29 / $9,199.50 / $39,846.05	Facility	50	$2,252.29	$9,199.50	$39,846.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $1,043.79 / $1,043.79	Facility		$1,043.79	$1,043.79	$1,043.79
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $103.83	Facility	AS	$103.83	$103.83	$103.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $894.20 / $894.20 / $1,224.47	Facility		$894.20	$894.20	$1,224.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,789.00 / $7,000.00	Facility		$3,028.00	$4,789.00	$7,000.00