Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $44.81 / $1,874.85	Facility		$19.52	$44.81	$1,874.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.72 / $696.00	Professional		$19.52	$19.72	$696.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $21.18 / $8,639.91	Facility		$18.00	$21.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $19.52 / $19.52	Facility		$18.42	$19.52	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $40.65 / $52.80	Facility		$17.54	$40.65	$52.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $21.69 / $672.00	Professional		$17.54	$21.69	$672.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $19.52 / $19.52	Facility		$18.42	$19.52	$19.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $16.11	Facility		$13.88	$13.88	$16.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $16.11	Professional		$13.88	$13.88	$16.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $26.96	Professional		$19.52	$19.52	$26.96