Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $41.16 / $53.47	Facility		$16.84	$41.16	$53.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.01 / $36.72	Professional		$16.84	$17.01	$36.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $18.27 / $8,639.91	Facility		$15.53	$18.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $18.27	Professional		$17.48	$17.48	$18.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $16.84 / $16.84	Facility		$15.89	$16.84	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $30.01 / $53.47	Facility		$17.76	$30.01	$53.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.76 / $53.47	Professional		$16.84	$17.76	$53.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $16.84 / $16.84	Facility		$15.89	$16.84	$16.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $17.47	Facility		$15.06	$15.06	$17.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.06 / $17.47	Professional		$15.06	$15.06	$17.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.86 / $24.42	Professional		$16.84	$18.86	$24.42