Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,839.00 / $8,247.00	Facility		$768.00	$3,839.00	$8,247.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $57,255.43	Facility		$13,531.00	$27,840.00	$57,255.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,070.00 / $8,451.00	Facility		$954.00	$4,070.00	$8,451.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $325.50 / $451.26	Facility		$325.50	$325.50	$451.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,947.00 / $30,788.00	Facility		$3,340.00	$7,947.00	$30,788.00