Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,748.00 / $8,017.00	Facility		$1,084.00	$3,748.00	$8,017.00
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
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,565.08 / $2,565.08 / $2,565.08	Facility		$2,565.08	$2,565.08	$2,565.08
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,579.13 / $1,579.13 / $1,579.13	Facility	62	$1,579.13	$1,579.13	$1,579.13
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $252.66 / $252.66 / $252.66	Facility	AS	$252.66	$252.66	$252.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,221.44 / $2,221.44 / $2,739.01	Facility		$2,221.44	$2,221.44	$2,739.01
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,596.87 / $2,596.87 / $2,596.87	Facility	62	$2,596.87	$2,596.87	$2,596.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00