Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $31.57	Facility		$24.86	$24.86	$31.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $28.65 / $59.17	Professional		$24.85	$28.65	$59.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $29.25 / $8,639.91	Facility		$24.86	$29.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $42.01	Facility		$24.86	$24.86	$42.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $28.65 / $58.08	Professional		$24.86	$28.65	$58.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $27.42 / $31.19	Facility		$26.88	$27.42	$31.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $31.19	Professional		$26.88	$26.88	$31.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $36.56	Professional		$27.79	$29.25	$36.56