Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $37.90 / $49.25	Facility		$16.36	$37.90	$49.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $42.73	Professional		$16.20	$16.36	$42.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $17.57 / $8,639.91	Facility		$14.93	$17.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $16.20 / $16.20	Facility		$15.28	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $28.42 / $49.25	Facility		$16.36	$28.42	$49.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $49.25	Professional		$16.20	$16.36	$49.25
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $16.20 / $16.20	Facility		$15.28	$16.20	$16.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $15.20 / $17.64	Facility		$15.20	$15.20	$17.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $17.64	Professional		$15.20	$15.20	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $22.88	Professional		$16.20	$16.20	$22.88