Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $56.18 / $56.18	Facility		$47.21	$56.18	$56.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $54.70 / $61.23	Professional		$38.46	$54.70	$61.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $70.73 / $91.22	Facility		$35.86	$70.73	$91.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $93.02 / $111.44	Professional		$88.63	$93.02	$111.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $171.09 / $171.09 / $171.09	Facility		$171.09	$171.09	$171.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $118.15 / $219.04	Professional		$80.36	$118.15	$219.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $56.18 / $56.18	Facility		$56.18	$56.18	$56.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $52.42 / $62.39	Professional		$37.53	$52.42	$62.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $241.85 / $261.75	Professional		$241.85	$241.85	$261.75
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $43.44 / $75.95	Facility		$35.86	$43.44	$75.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $93.02 / $111.44	Professional		$88.63	$93.02	$111.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $49.75 / $52.80	Facility		$49.75	$49.75	$52.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $52.80 / $73.76	Professional		$49.75	$52.80	$73.76
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,446.00 / $6,612.00	Facility		$656.00	$2,446.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $59.80 / $89.89	Professional		$46.36	$59.80	$89.89