Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $3.57	Facility		$2.81	$2.81	$3.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
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 $180.99 / $187.82 / $187.82	Professional		$180.99	$187.82	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $3.57	Facility		$2.81	$2.81	$3.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.15 / $105.15 / $105.15	Facility		$105.15	$105.15	$105.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $105.15 / $105.15	Professional		$105.15	$105.15	$105.15