Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $76.22	Facility		$29.71	$29.71	$76.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.68 / $56.00	Professional		$28.00	$32.68	$56.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $31.28 / $8,639.91	Facility		$26.59	$31.28	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Professional		$29.71	$29.71	$29.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $76.22	Facility		$29.71	$29.71	$76.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.50 / $56.00	Professional		$28.00	$32.50	$56.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $27.22 / $58.00	Facility		$18.73	$27.22	$58.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $58.00	Professional		$18.73	$18.73	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $31.27 / $41.55	Professional		$25.44	$31.27	$41.55