Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.10 / $15.65	Facility		$6.31	$10.10	$15.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.94 / $8,639.91	Facility		$4.20	$4.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $4.94	Professional		$4.94	$4.94	$4.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.72 / $15.65	Facility		$6.31	$9.72	$15.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $12.56	Professional		$6.31	$6.31	$12.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $4.03	Facility		$4.03	$4.03	$4.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $4.03	Professional		$4.03	$4.03	$4.03
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.21	Professional		$4.76	$4.76	$6.21