Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $55.29 / $71.84	Facility		$23.65	$55.29	$71.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.89 / $3,840.01	Professional		$23.65	$23.89	$3,840.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $25.66 / $8,639.91	Facility		$21.81	$25.66	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $24.54 / $24.54	Professional		$24.54	$24.54	$24.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $23.65 / $23.65	Facility		$22.31	$23.65	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $55.29 / $71.84	Facility		$23.87	$55.29	$71.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $25.87 / $71.84	Professional		$23.65	$25.87	$71.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $23.65 / $23.65	Facility		$22.31	$23.65	$23.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $21.56 / $25.02	Facility		$21.56	$21.56	$25.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $25.02	Professional		$21.56	$21.56	$25.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $32.65	Professional		$23.65	$23.65	$32.65