Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Facility		$14.13	$14.13	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $32.36	Professional		$8.91	$16.98	$32.36
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 $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Facility		$14.13	$14.13	$16.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $22.91	Professional		$10.00	$16.98	$22.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Facility		$17.78	$17.78	$23.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $77.62	Professional		$10.23	$17.78	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $32.36	Professional		$12.30	$19.50	$32.36