Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $47.86	Facility		$39.81	$39.81	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $91.20	Professional		$25.12	$50.12	$91.20
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 $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $47.86	Facility		$39.81	$39.81	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $66.07	Professional		$28.18	$47.86	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Facility		$50.12	$50.12	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Professional		$50.12	$50.12	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $91.20	Professional		$34.67	$54.95	$91.20