Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $86.53 / $86.53	Facility		$72.77	$86.53	$86.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $89.18 / $112.99	Professional		$72.77	$89.18	$112.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $631.00	Facility		$112.34	$112.34	$631.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $353.50 / $470.87	Professional		$27.27	$353.50	$470.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $85.80 / $156.52	Professional		$66.92	$85.80	$156.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $72.77 / $86.53	Facility		$72.77	$72.77	$86.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $88.53 / $112.99	Professional		$58.36	$88.53	$112.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $102.93	Professional		$37.20	$37.20	$102.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $631.00	Facility		$112.34	$112.34	$631.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $65.19 / $470.87	Professional		$28.62	$65.19	$470.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $78.16	Facility		$70.98	$70.98	$78.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $72.40 / $78.16	Professional		$23.30	$72.40	$78.16
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $87.40 / $148.72	Professional		$69.80	$87.40	$148.72