Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $42.80 / $55.60	Facility		$18.16	$42.80	$55.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.34 / $22.13	Professional		$18.16	$18.34	$22.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $19.70 / $8,639.91	Facility		$16.75	$19.70	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Professional		$18.84	$18.84	$18.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $18.16 / $18.16	Facility		$17.13	$18.16	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $42.80 / $55.60	Facility		$18.48	$42.80	$55.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.48 / $55.60	Professional		$18.16	$18.48	$55.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $18.16 / $18.16	Facility		$17.13	$18.16	$18.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $15.99 / $18.55	Facility		$15.99	$15.99	$18.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $18.55	Professional		$15.99	$15.99	$18.55
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $25.08	Professional		$18.16	$18.16	$25.08