Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $53.41 / $63.54	Facility		$22.00	$53.41	$63.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $63.54 / $117.12	Professional		$42.45	$63.54	$117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.62 / $268.18	Professional		$23.06	$27.62	$268.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $87.94 / $87.94	Professional		$87.94	$87.94	$87.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $53.41 / $63.54	Facility		$22.00	$53.41	$63.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $63.11 / $113.52	Professional		$42.45	$63.11	$113.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Professional		$80.59	$80.59	$80.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.62 / $268.18	Professional		$23.06	$27.62	$268.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $42.49 / $46.78	Facility		$33.38	$42.49	$46.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $42.49 / $46.78	Professional		$33.38	$42.49	$46.78
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $53.31 / $102.86	Professional		$37.00	$53.31	$102.86