Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $67.09 / $89.67	Professional		$14.73	$67.09	$89.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $107.75 / $134.94	Professional		$75.25	$107.75	$134.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $74.54 / $126.59	Professional		$16.64	$74.54	$126.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $121.22 / $157.87	Professional		$91.40	$121.22	$157.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $67.09 / $116.63	Professional		$15.04	$67.09	$116.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $164.10 / $513.10	Professional		$135.40	$164.10	$513.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $74.06 / $131.03	Professional		$16.51	$74.06	$131.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $60.27 / $85.07	Professional		$15.28	$60.27	$85.07
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $97.14 / $159.82	Professional		$72.70	$97.14	$159.82