Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $13.13 / $17.05	Facility		$4.54	$13.13	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.54 / $30.34	Professional		$4.50	$4.54	$30.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.88 / $8,639.91	Facility		$4.15	$4.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $4.67	Professional		$4.67	$4.67	$4.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.50 / $4.50	Facility		$4.24	$4.50	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $13.13 / $17.05	Facility		$5.67	$13.13	$17.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.67 / $17.05	Professional		$4.50	$5.67	$17.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.50 / $4.50	Facility		$4.24	$4.50	$4.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $9.82 / $11.40	Facility		$9.82	$9.82	$11.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $9.82 / $11.40	Professional		$9.82	$9.82	$11.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $8.24	Professional		$4.50	$4.50	$8.24