Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $63.50	Facility		$50.00	$50.00	$63.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.72 / $13.72	Professional		$13.22	$13.72	$13.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $63.50	Facility		$50.00	$50.00	$63.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $166.64 / $166.64 / $166.64	Facility		$166.64	$166.64	$166.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $166.64	Professional		$166.64	$166.64	$166.64
United Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $63.00 / $68.00	Professional		$55.00	$63.00	$68.00