Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,113.00	Facility		$1,301.00	$3,964.00	$8,113.00
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 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,080.12 / $3,273.48 / $3,273.48	Facility		$3,080.12	$3,273.48	$3,273.48
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,734.57 / $2,734.57 / $2,734.57	Facility	62	$2,734.57	$2,734.57	$2,734.57
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