Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $104.32 / $104.32	Facility		$86.13	$104.32	$104.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $201.77 / $201.77	Facility		$201.77	$201.77	$201.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.32 / $104.32 / $104.32	Facility		$104.32	$104.32	$104.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $92.72 / $92.90	Facility		$92.72	$92.72	$92.90