Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $31.75 / $44.82	Professional		$21.25	$31.75	$44.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $27.63 / $45.31	Professional		$26.63	$27.63	$45.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $39.79 / $39.79	Facility		$39.79	$39.79	$39.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $166.82 / $166.82	Professional		$166.82	$166.82	$166.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $45.81 / $68.55	Professional		$25.43	$45.81	$68.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $30.94 / $44.00	Professional		$20.02	$30.94	$44.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $55.19 / $59.76	Professional		$55.19	$55.19	$59.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $39.79 / $39.79	Facility		$39.79	$39.79	$39.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $166.82 / $166.82	Professional		$166.82	$166.82	$166.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $31.20	Facility		$26.50	$26.50	$31.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $31.20 / $34.47	Professional		$26.50	$31.20	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $25.12 / $49.60	Professional		$17.39	$25.12	$49.60