Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.08 / $7,190.00 / $19,602.98	Facility		$1,306.08	$7,190.00	$19,602.98
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $120,975.84 / $120,975.84 / $120,975.84	Facility	22	$120,975.84	$120,975.84	$120,975.84
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 $14,319.98 / $76,358.64 / $275,850.09	Facility		$14,319.98	$76,358.64	$275,850.09
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $142,572.64 / $142,572.64 / $142,572.64	Facility	22	$142,572.64	$142,572.64	$142,572.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $7,190.00 / $19,602.98	Facility		$1,426.00	$7,190.00	$19,602.98
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $120,975.84 / $120,975.84 / $120,975.84	Facility	22	$120,975.84	$120,975.84	$120,975.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,195.11 / $1,195.11 / $1,509.52	Facility		$1,195.11	$1,195.11	$1,509.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $13,247.00 / $34,357.00	Facility		$3,742.00	$13,247.00	$34,357.00