Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,371.00 / $7,629.00	Facility		$540.00	$2,371.00	$7,629.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $136.65 / $198.89	Facility		$136.65	$136.65	$198.89
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00