Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $21.43	Facility		$12.68	$12.68	$21.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.68 / $13.94	Professional		$12.67	$12.68	$13.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $24.90 / $8,639.91	Facility		$21.17	$24.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $23.66 / $23.66	Professional		$23.66	$23.66	$23.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $21.43	Facility		$12.68	$12.68	$21.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.68 / $37.65	Professional		$12.67	$12.68	$37.65
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $13.98	Facility		$12.04	$12.04	$13.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $13.98	Professional		$12.04	$12.04	$13.98
United Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $48.07 / $48.07	Facility		$48.07	$48.07	$48.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $64.33	Professional		$51.46	$51.46	$64.33