Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.80	Facility		$40.00	$40.00	$50.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $414.25 / $429.88 / $429.88	Professional		$414.25	$429.88	$429.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.80	Facility		$40.00	$40.00	$50.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $200.77 / $200.77	Facility		$200.77	$200.77	$200.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $200.77 / $200.77	Professional		$200.77	$200.77	$200.77