Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $537.00 / $537.00	Professional		$537.00	$537.00	$537.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $12.96 / $8,639.91	Facility		$11.02	$12.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $12.96	Professional		$12.96	$12.96	$12.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $31.72 / $31.72	Facility		$31.72	$31.72	$31.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $31.72	Professional		$31.72	$31.72	$31.72