Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $16.94 / $26.05	Facility		$5.05	$16.94	$26.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $5.35 / $7.75	Professional		$3.12	$5.35	$7.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $16.64 / $8,639.91	Facility		$12.81	$16.64	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.10 / $20.65	Facility		$4.09	$8.10	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $6.89 / $9.30	Professional		$2.93	$6.89	$9.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $3.68 / $8.44	Professional		$0.51	$3.68	$8.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $16.94 / $25.73	Facility		$5.30	$16.94	$25.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.46 / $25.73	Professional		$4.23	$5.46	$25.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.30 / $20.65	Facility		$4.17	$8.30	$20.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $6.89 / $8.77	Professional		$2.80	$6.89	$8.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Professional		$3.62	$3.62	$3.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $4.26 / $9.35	Professional		$2.23	$4.26	$9.35