Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $12.89 / $3,522.60	Facility		$4.24	$12.89	$3,522.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.28 / $8.53	Professional		$4.24	$4.28	$8.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $4.59 / $8,639.91	Facility		$3.91	$4.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Professional		$4.40	$4.40	$4.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.24 / $4.24	Facility		$4.00	$4.24	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $9.92 / $3,232.93	Facility		$4.24	$9.92	$3,232.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.63 / $12.89	Professional		$4.24	$4.63	$12.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.24 / $4.24	Facility		$4.00	$4.24	$4.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $4.34	Facility		$3.74	$3.74	$4.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $4.34	Professional		$3.74	$3.74	$4.34
United Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Facility		$4.24	$4.24	$4.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.86	Professional		$4.24	$4.24	$5.86