Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $20.70	Facility		$16.30	$16.30	$20.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $17.93	Professional		$16.30	$16.30	$17.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $13.38 / $8,639.91	Facility		$11.37	$13.38	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $27.55	Facility		$16.30	$16.30	$27.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $20.70	Professional		$16.30	$16.30	$20.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.57 / $20.01	Facility		$17.23	$17.57	$20.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $20.01	Professional		$17.23	$17.23	$20.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $16.73	Professional		$13.38	$13.38	$16.73