Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.50 / $6.55	Facility		$2.49	$2.50	$6.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.50	Professional		$2.49	$2.49	$2.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.49 / $8,639.91	Facility		$2.13	$2.49	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.81	Professional		$2.49	$2.49	$2.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.59 / $3.18	Professional		$2.47	$2.59	$3.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.50 / $6.55	Facility		$2.49	$2.50	$6.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.99	Professional		$2.49	$2.49	$2.99
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.49 / $2.49	Facility		$2.35	$2.49	$2.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.17	Professional		$2.49	$2.49	$3.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $9.11 / $10.57	Facility		$9.11	$9.11	$10.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $10.57	Professional		$9.11	$9.11	$10.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.74	Professional		$2.49	$2.49	$3.74