Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $42.21 / $54.84	Facility		$16.54	$42.21	$54.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.71 / $27.96	Professional		$16.54	$16.71	$27.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $17.95 / $8,639.91	Facility		$15.26	$17.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.17 / $17.17	Professional		$17.17	$17.17	$17.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $16.54 / $16.54	Facility		$15.60	$16.54	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $30.79 / $54.84	Facility		$18.22	$30.79	$54.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.22 / $54.84	Professional		$16.54	$18.22	$54.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $16.54 / $16.54	Facility		$15.60	$16.54	$16.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $13.31 / $15.44	Facility		$13.31	$13.31	$15.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $15.44	Professional		$13.31	$13.31	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $30.07	Professional		$16.54	$16.54	$30.07