Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $7.65 / $11.85	Facility		$4.78	$7.65	$11.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.84 / $8,639.91	Facility		$4.11	$4.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $4.84	Professional		$4.84	$4.84	$4.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $7.36 / $11.85	Facility		$4.78	$7.36	$11.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $9.51	Professional		$4.78	$4.78	$9.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $7.76	Professional		$5.62	$5.62	$7.76