Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $28.86	Facility		$11.03	$11.03	$28.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.03 / $15.14	Professional		$11.02	$11.03	$15.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $11.61 / $8,639.91	Facility		$9.86	$11.61	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Facility		$10.91	$10.91	$10.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $28.86	Facility		$11.03	$11.03	$28.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.03 / $15.50	Professional		$11.02	$11.03	$15.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Facility		$10.91	$10.91	$10.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.02 / $6.99	Facility		$6.02	$6.02	$6.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.99	Professional		$6.02	$6.02	$6.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.62 / $14.53	Professional		$9.86	$11.62	$14.53