Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $109.94 / $170.40	Facility		$68.70	$109.94	$170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $68.70	Professional		$68.70	$68.70	$68.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $67.09 / $8,639.91	Facility		$57.03	$67.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $105.81 / $170.40	Facility		$68.70	$105.81	$170.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $136.72	Professional		$68.70	$68.70	$136.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $65.17 / $65.17	Facility		$65.17	$65.17	$65.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $65.17 / $65.17	Professional		$65.17	$65.17	$65.17
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $147.94	Professional		$80.84	$80.84	$147.94