Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $39.97 / $61.98	Facility		$24.99	$39.97	$61.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $24.40 / $8,639.91	Facility		$20.74	$24.40	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $24.40 / $24.40	Professional		$24.40	$24.40	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $38.47 / $61.98	Facility		$24.99	$38.47	$61.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.99 / $49.73	Professional		$24.39	$24.99	$49.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Facility		$14.77	$14.77	$14.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $40.60	Professional		$29.40	$29.40	$40.60