Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
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 $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,115.25 / $2,115.25 / $2,861.25	Facility		$2,115.25	$2,115.25	$2,861.25
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,701.19 / $2,701.19 / $2,701.19	Facility	62	$2,701.19	$2,701.19	$2,701.19
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00