Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $17.68 / $27.40	Facility		$11.05	$17.68	$27.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $9.72 / $8,639.91	Facility		$8.26	$9.72	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Professional		$9.72	$9.72	$9.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $17.02 / $27.40	Facility		$11.05	$17.02	$27.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $21.99	Professional		$11.05	$11.05	$21.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Facility		$10.93	$10.93	$10.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Professional		$10.93	$10.93	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $23.79	Professional		$13.00	$13.00	$23.79