Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $7.97 / $12.35	Facility		$4.98	$7.97	$12.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $4.98 / $4.98	Professional		$4.98	$4.98	$4.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.86 / $8,639.91	Facility		$4.13	$4.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $7.67 / $12.35	Facility		$4.98	$7.67	$12.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $4.98 / $9.91	Professional		$4.98	$4.98	$9.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Facility		$5.16	$5.16	$5.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Professional		$5.16	$5.16	$5.16
United Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $8.09	Professional		$5.86	$5.86	$8.09