Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $12.75 / $19.64	Facility		$3.80	$12.75	$19.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.80 / $19.37	Professional		$2.58	$3.80	$19.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $28.17 / $8,639.91	Facility		$21.69	$28.17	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.66 / $3.66	Professional		$3.66	$3.66	$3.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $6.17 / $15.21	Facility		$3.08	$6.17	$15.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $5.37 / $7.62	Professional		$2.64	$5.37	$7.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.77 / $6.35	Professional		$2.16	$2.77	$6.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $12.75 / $19.64	Facility		$3.99	$12.75	$19.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $3.98 / $19.37	Professional		$3.38	$3.98	$19.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $6.53 / $15.21	Facility		$3.14	$6.53	$15.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $5.37 / $7.62	Professional		$2.64	$5.37	$7.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.69 / $6.12	Professional		$4.13	$4.69	$6.12
United Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Facility		$2.52	$2.52	$2.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.83 / $8.58	Professional		$2.10	$2.83	$8.58