Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.58 / $5.56	Facility		$2.24	$3.58	$5.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $2.10 / $8,639.91	Facility		$1.79	$2.10	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.45 / $5.56	Facility		$2.24	$3.45	$5.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $4.46	Professional		$2.24	$2.24	$4.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Facility		$2.22	$2.22	$2.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.09	Professional		$2.24	$2.24	$3.09