Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.05 / $1.74	Facility		$0.70	$1.05	$1.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.89	Professional		$0.70	$0.70	$1.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.68 / $8,639.91	Facility		$0.57	$0.68	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Facility		$0.70	$0.70	$0.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.05 / $1.74	Facility		$0.70	$1.05	$1.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.81	Professional		$0.70	$0.70	$1.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Facility		$0.70	$0.70	$0.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $0.84	Facility		$0.72	$0.72	$0.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.84	Professional		$0.72	$0.72	$0.84
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.94	Professional		$0.68	$0.68	$0.94