Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $35.29 / $4,791.57	Facility		$15.10	$35.29	$4,791.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.26 / $31.70	Professional		$15.11	$15.26	$31.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $16.39 / $8,639.91	Facility		$13.93	$16.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $15.11 / $15.11	Facility		$14.26	$15.11	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $25.74 / $45.84	Facility		$15.23	$25.74	$45.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.26 / $45.84	Professional		$15.11	$15.26	$45.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $15.11 / $15.11	Facility		$14.26	$15.11	$15.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $13.33 / $15.47	Facility		$13.33	$13.33	$15.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.33 / $15.47	Professional		$13.33	$13.33	$15.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $21.34	Professional		$15.11	$15.11	$21.34