Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $176.02 / $272.83	Facility		$110.01	$176.02	$272.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $110.01	Professional		$110.01	$110.01	$110.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.31 / $107.42 / $8,639.91	Facility		$91.31	$107.42	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Professional		$107.42	$107.42	$107.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $169.42 / $272.83	Facility		$110.01	$169.42	$272.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $218.92	Professional		$110.01	$110.01	$218.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $113.98 / $113.98	Facility		$113.98	$113.98	$113.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $113.98 / $113.98	Professional		$113.98	$113.98	$113.98
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $178.73	Professional		$129.41	$129.41	$178.73