Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $35.78 / $55.45	Facility		$22.36	$35.78	$55.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $21.84 / $8,639.91	Facility		$18.55	$21.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $21.84 / $21.84	Professional		$21.84	$21.84	$21.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $34.43 / $55.45	Facility		$22.36	$34.43	$55.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $44.50	Professional		$22.36	$22.36	$44.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Facility		$23.16	$23.16	$23.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $29.73	Professional		$21.05	$21.05	$29.73