Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $35.59 / $35.59	Facility		$29.94	$35.59	$35.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $36.68 / $55.04	Professional		$26.37	$36.68	$55.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.53 / $112.26	Professional		$15.53	$19.53	$112.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $21.98 / $28.08	Professional		$15.12	$21.98	$28.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $35.59 / $35.59	Facility		$35.59	$35.59	$35.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $36.28 / $55.04	Professional		$23.80	$36.28	$55.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $47.44 / $82.41	Professional		$42.41	$47.44	$82.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.53 / $112.26	Professional		$15.53	$19.53	$112.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $45.56 / $59.20	Facility		$45.56	$45.56	$59.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $46.47 / $59.20	Professional		$12.72	$46.47	$59.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $58.36 / $107.46	Professional		$39.83	$58.36	$107.46