Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Facility		$79.43	$79.43	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $97.72	Professional		$79.43	$79.43	$97.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $5,011.87	Facility		$158.49	$186.21	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Facility		$79.43	$79.43	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Professional		$79.43	$79.43	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $407.38	Facility		$79.43	$79.43	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $407.38	Professional		$79.43	$89.13	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47