Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $27.12 / $43.67	Facility		$17.61	$27.12	$43.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $17.20 / $8,639.91	Facility		$14.62	$17.20	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $26.42 / $43.67	Facility		$17.61	$26.42	$43.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $35.04	Professional		$17.61	$17.61	$35.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Professional		$18.23	$18.23	$18.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $28.61	Professional		$20.72	$20.72	$28.61