Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $6.35	Facility		$5.00	$5.00	$6.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,368.76 / $1,420.41 / $1,420.41	Professional		$1,368.76	$1,420.41	$1,420.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $6.35	Facility		$5.00	$5.00	$6.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $437.89 / $437.89	Facility		$437.89	$437.89	$437.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $437.89 / $437.89	Professional		$437.89	$437.89	$437.89