Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $22.59 / $31.58	Facility		$11.32	$22.59	$31.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $11.32 / $14.88	Professional		$11.32	$11.32	$14.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $31.29 / $8,639.91	Facility		$26.60	$31.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Professional		$31.29	$31.29	$31.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $19.13 / $32.39	Facility		$11.32	$19.13	$32.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $11.32 / $25.99	Professional		$11.32	$11.32	$25.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $34.99 / $34.99	Facility		$34.99	$34.99	$34.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $34.99 / $34.99	Professional		$34.99	$34.99	$34.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $24.72	Professional		$17.50	$17.50	$24.72