Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.60	Facility		$1.26	$1.26	$1.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
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 $234.32 / $243.16 / $243.16	Professional		$234.32	$243.16	$243.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $267.07 / $267.07	Facility		$267.07	$267.07	$267.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.60	Facility		$1.26	$1.26	$1.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $267.07 / $267.07	Facility		$267.07	$267.07	$267.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Facility		$415.00	$415.00	$415.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Professional		$415.00	$415.00	$415.00