Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Facility		$19.95	$19.95	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $46.77	Professional		$12.88	$25.70	$46.77
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 $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Facility		$19.95	$19.95	$25.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $33.88	Professional		$14.13	$25.12	$33.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $25.70 / $117.49	Facility		$1.38	$25.70	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $25.70 / $117.49	Professional		$1.38	$25.70	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $47.86	Professional		$17.78	$28.18	$47.86