Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $10.21 / $15.82	Facility		$6.38	$10.21	$15.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $6.24 / $8,639.91	Facility		$5.30	$6.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Professional		$6.24	$6.24	$6.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $9.83 / $15.82	Facility		$6.38	$9.83	$15.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $12.70	Professional		$6.38	$6.38	$12.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Facility		$5.43	$5.43	$5.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Professional		$5.43	$5.43	$5.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $10.61	Professional		$7.51	$7.51	$10.61