Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $12.88 / $19.96	Facility		$8.05	$12.88	$19.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Professional		$8.05	$8.05	$8.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $4.12 / $8,639.91	Facility		$3.50	$4.12	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Professional		$4.12	$4.12	$4.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $21.96 / $21.96	Facility		$21.96	$21.96	$21.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $12.40 / $19.96	Facility		$8.05	$12.40	$19.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $16.02	Professional		$8.05	$8.05	$16.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $6.94	Professional		$3.79	$3.79	$6.94