Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.79 / $3,839.00 / $8,247.00	Facility		$577.79	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $577.79 / $2,095.78	Professional		$172.44	$577.79	$2,095.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $932.63 / $1,097.21 / $1,798.83	Professional		$932.63	$1,097.21	$1,798.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.15 / $1,506.15 / $1,549.84	Professional		$1,506.15	$1,506.15	$1,549.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $589.66 / $2,843.00	Professional		$172.44	$589.66	$2,843.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.00 / $1,033.83 / $1,033.83	Facility		$692.00	$1,033.83	$1,033.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $692.00 / $1,033.83 / $1,075.07	Professional		$692.00	$1,033.83	$1,075.07
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.74 / $1,085.52 / $1,996.42	Professional		$546.74	$1,085.52	$1,996.42