Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $75.98 / $245.51	Facility		$57.33	$75.98	$245.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $68.45 / $85.06	Professional		$53.14	$68.45	$85.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $81.28 / $137.69	Facility		$64.94	$81.28	$137.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $56.20 / $338.32	Professional		$44.69	$56.20	$338.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $55.45 / $82.98	Professional		$45.93	$55.45	$82.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $82.84 / $245.51	Facility		$57.33	$82.84	$245.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $63.24 / $85.06	Professional		$53.14	$63.24	$85.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.73 / $470.37 / $737.28	Professional		$399.73	$470.37	$737.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $81.28 / $114.74	Facility		$57.14	$81.28	$114.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $56.20 / $338.32	Professional		$44.69	$56.20	$338.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $38.24	Professional		$38.24	$38.24	$38.24
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $81.50 / $135.97	Professional		$64.12	$81.50	$135.97