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 $1,229.10 / $1,492.51 / $1,492.51	Facility		$1,229.10	$1,492.51	$1,492.51
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,440.44 / $1,440.44 / $1,440.44	Facility	62	$1,440.44	$1,440.44	$1,440.44
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