Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Facility		$12.02	$12.02	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $28.18	Professional		$10.00	$15.14	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Facility		$12.02	$12.02	$15.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.95	Professional		$10.00	$15.14	$19.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $20.89	Facility		$19.95	$19.95	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $21.38	Professional		$17.38	$19.95	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.50 / $31.62	Professional		$10.23	$19.50	$31.62