Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $28.04	Facility		$16.59	$16.59	$28.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $17.82 / $8,639.91	Facility		$15.16	$17.82	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Professional		$17.82	$17.82	$17.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $28.04	Facility		$16.59	$16.59	$28.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $19.91	Professional		$16.59	$16.59	$19.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $26.45 / $26.45	Facility		$26.45	$26.45	$26.45
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $42.60	Professional		$32.38	$34.08	$42.60