Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $39.04	Facility		$30.75	$30.75	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $58.40	Professional		$30.75	$30.75	$58.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $34.34 / $8,639.91	Facility		$29.19	$34.34	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $34.34 / $34.34	Professional		$34.34	$34.34	$34.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $51.97	Facility		$30.75	$30.75	$51.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $39.04	Professional		$30.75	$30.75	$39.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $42.97 / $42.97	Facility		$42.97	$42.97	$42.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $42.97 / $42.97	Professional		$42.97	$42.97	$42.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $39.65	Professional		$24.28	$24.28	$39.65