Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $289.14 / $448.19	Facility		$180.72	$289.14	$448.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $180.72	Professional		$180.72	$180.72	$180.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $176.47 / $8,639.91	Facility		$150.00	$176.47	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $176.47 / $176.47	Professional		$176.47	$176.47	$176.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $278.31 / $448.19	Facility		$180.72	$278.31	$448.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $359.63	Professional		$180.72	$180.72	$359.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $187.23 / $187.23 / $187.23	Facility		$187.23	$187.23	$187.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $187.23 / $187.23	Professional		$187.23	$187.23	$187.23
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $235.29	Professional		$180.30	$180.30	$235.29