Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.40 / $3,623.00 / $8,017.00	Facility		$197.40	$3,623.00	$8,017.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $684.55 / $3,839.00 / $8,017.00	Facility		$684.55	$3,839.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $220.67 / $220.67 / $220.67	Facility		$220.67	$220.67	$220.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.69 / $180.29 / $274.52	Facility		$129.69	$180.29	$274.52
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00