Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $32.45	Facility		$19.20	$19.20	$32.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $19.20	Professional		$19.19	$19.20	$19.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.74 / $8,639.91	Facility		$21.88	$25.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $32.45	Facility		$19.20	$19.20	$32.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $23.04	Professional		$19.19	$19.20	$23.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.60	Facility		$18.23	$18.23	$18.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $32.18	Professional		$25.74	$25.74	$32.18