Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $8,709.64	Facility		$1,288.25	$5,495.41	$8,709.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,047.13	Facility		$741.31	$870.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $9,772.37	Facility		$2,089.30	$3,981.07	$9,772.37